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A Case of Acute Renal Artery Occlusion with Uncontrolled Heart Failure Successfully Treated using Percutaneous Renal Artery Intervention Performed at the Subacute Phase Michiharu Yamada 1 , Tomoo Shimizu 1 , Yoshichika Matsui 1 , Tetsuo Shibata 1 , Yasuki Hashimoto 2 1Department of Cardiology, Ichinomiya Municipal Hospital 2Department of Nephrology, Ichinomiya Municipal Hospital Keyword: 腎動脈インターベンション , 腎動脈閉塞 , 心不全 , renal artery intervention , occlusion of the renal artery , heart failure pp.547-551
Published Date 2005/5/1
DOI https://doi.org/10.11477/mf.1404100059
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Summary

 An 83-year-old woman complaining of anuria and dyspnea was admitted to our hospital because of acute severe renal dysfunction with a serum creatinine concentration of 4.51 mg per deciliter. Since her anuric condition continued after admission, we performed hemodialysis for this unexplained acute renal failure, but uncontrollable pulmonary edema was persistent. Angiographic findings performed at the 25th hospital day showed 90% stenosis of the left renal artery and total occlusion at the proximal site of the right renal artery. Peripheral flow was observed via the collateral vessels. Because the left kidney was atrophic but the right kidney was not, percutaneous renal artery intervention was performed for the lesion of the right renal artery. Soon after the procedure, urine volume increased suffciently and congestive heart failure was soon improved. Revascularization such as that attained by percutaneous renal artery intervention should be carried out for occlusion of the renal artery in such cases even at the subacute phase.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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