A case of successful revascularization and renal recovery after 6 days of renal artery occlusion

Muner M B Mohamed; Khalid M G Mohammed; MoetazBellah S A Kadoura; W Charles Sternbergh; Juan Carlos Q Velez

doi:10.1016/j.jvscit.2024.101453

A case of successful revascularization and renal recovery after 6 days of renal artery occlusion

J Vasc Surg Cases Innov Tech. 2024 Feb 12;10(3):101453. doi: 10.1016/j.jvscit.2024.101453. eCollection 2024 Jun.

Authors

Muner M B Mohamed^{1

2}, Khalid M G Mohammed³, MoetazBellah S A Kadoura⁴, W Charles Sternbergh^{2

5}, Juan Carlos Q Velez^{1

2}

Affiliations

¹ Department of Nephrology, Ochsner Health System, New Orleans, LA.
² Ochsner Clinical School, The University of Queensland, Brisbane, QLD, Australia.
³ Faculty of Medicine, Tanta University, Tanta, Egypt.
⁴ Faculty of Medicine, Tobruk University, Tobruk, Libya.
⁵ Division of Vascular and Endovascular Surgery, Ochsner Health, New Orleans, LA.

Abstract

A 72-year-old man with peripheral arterial disease, an atrophic left kidney, and prior right renal chimney stent as part of a complex endovascular abdominal aortic aneurysm repair presented to our emergency department with right flank pain and anuria resulting from right artery occlusion. His serum creatinine on admission was 7.5 mg/dL. Computed tomography angiography 6 days after the onset of his symptoms revealed complete occlusion of the right renal artery stent. Percutaneous thrombectomy was performed restored renal blood flow. The urine flow started the following day, and his serum creatinine decreased to 3.5 mg/dL 7 days after discharge.

Keywords: Renal artery occlusion; Thrombolysis.

Publication types

Case Reports