Renal infarction caused by spontaneous renal artery dissection: treatment with catheter-directed thrombolysis and stenting.
Spontaneous renal artery dissection (SRAD) is rare and presents a diagnostic and therapeutic challenge. We report a case of a 36-year-old man who had an SRAD-complicated renal infarction. The patient experienced severe unilateral flank pain. Enhanced abdominal computed axial tomography scan showed renal infarction, and urinalysis showed no hematuria. Selective renal angiography was essential to evaluate the extent of dissection and suitability for repair. The patient was treated with catheter-directed thrombolysis and frenal artery stenting.
Jeon
Yong Sun
YS
Department of Radiology, Inha University College of Medicine, Choong-Gu, Inchon, South Korea. radjeon@korea.com
Cho
Soon Gu
SG
Hong
Ki Cheon
KC
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002404:Catheterization / Q000379:methods; D003937:Diagnosis, Differential; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D007668:Kidney / Q000098:blood supply*; D008297:Male; D015607:Stents; D015912:Thrombolytic Therapy / Q000379:methods*; D014057:Tomography, X-Ray Computed