title: Successful catheter aspiration and local low-dose thrombolysis in an acute renal artery embolism.
abstract: Acute renal artery embolism (RAE) is a clinical rare condition and diagnosis of it is often delayed or missed due to both the rarity of the disease and its non-specific clinical presentation. The exact role and optimal timing of endovascular revascularization remain controversial and uncertain. This article discusses a case of acute renal artery embolism caused by atrial fibrillation. Endovascular renal thrombus aspiration combined with local low-dose thrombolysis reversed the renal ischemia with restoration of renal function despite prolonged ischemia.
authors.affiliation: Department of cardiology, Jing-an District Central Hospital, Shanghai 200040, China. Electronic address: wangjun@medmail.com.cn.
authors.forename: Jun
authors.initials: J
authors.lastname: Wang
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhang
authors.forename: Yu-min
authors.initials: YM
authors.lastname: Sun
authors.forename: Yun
authors.initials: Y
authors.lastname: Zhou
mesh_terms: D000208:Acute Disease; D001281:Atrial Fibrillation / Q000150:complications* / Q000175:diagnosis; D002404:Catheterization; D003131:Combined Modality Therapy; D004617:Embolism / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D057510:Endovascular Procedures; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D013396:Suction; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents
keywords: Aspiration; Renal Artery Embolism (RAE); Thrombolysis