Thrombolytic therapy followed by stenting for renal artery dissection secondary to blunt trauma

Emerg Radiol. 2005 Apr;11(3):164-6. doi: 10.1007/s10140-004-0390-z.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Male
  • Plasminogen Activators / administration & dosage*
  • Renal Artery / injuries*
  • Stents*
  • Thrombolytic Therapy*
  • Thrombosis / etiology
  • Thrombosis / therapy*
  • Urokinase-Type Plasminogen Activator / administration & dosage*
  • Wounds, Nonpenetrating / complications*

Substances

  • Plasminogen Activators
  • Urokinase-Type Plasminogen Activator