Thrombolytic therapy followed by stenting for renal artery dissection secondary to blunt trauma.
A 18-year-old man presented at our clinic with pain in the right flank following a motorbike accident. The diagnosis of renal artery dissection followed by thrombosis was made by computed tomography and confirmed by angiography. Successful revascularization was performed by means of repeated transcatheter injection of small doses of thrombolytic agents within the vessel, followed by deployment of a self-expandable stent. There were no complications, and the patient recovered well. Six months after stent placement, a selective renal angiogram showed excellent flow through the stented portion of the artery and normal parenchyma enhancement in the right kidney.
Lupattelli
Tommaso
T
Department of Imaging, Policlinico di San Donato, 20092 Milan, Italy. tommasolupattelli@hotmail.com
Basile
Antonio
A
Iozzelli
Andrea
A
Quarenghi
Matteo
M
Nano
Giovanni
G
Casana
Renato
R
Malacrida
Giovanni
G
D000328:Adult; D006801:Humans; D008297:Male; D010960:Plasminogen Activators / Q000008:administration & dosage*; D012077:Renal Artery / Q000293:injuries*; D015607:Stents; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000209:etiology / Q000628:therapy*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*; D014949:Wounds, Nonpenetrating / Q000150:complications*
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator