Abstract
Progressive renal failure may be due to renal artery stenosis and occlusion. Gradual occlusion of the renal arteries may allow the development of collateral arterial supply sufficient to avoid dialysis. Even when dialysis is required, significant viable renal parenchyma may still be present to allow escape from dialysis following revascularization of one or both kidneys. The chance of success in such cases is thought to be better if the patient still produces a significant amount of urine. We report here a patient who was completely anuric for five days and in whom excellent renal function returned after balloon angioplasty of one of two occluded renal arteries.
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OURIEL K, ANDRUS CH, RICOTTA JJ, et al. Acute renal artery occlusion: when is revascularization justified?J Vasc Surg 1987;5(2:348–355.
MORTON JR, CRAWFORD ES. Bilateral traumatic renal artery thrombosis.Ann Surg 1971;176:62–66.
JOHANSEN K, VOCI V, COHEN D, et al. Acute bilateral renal artery occlusion. Revascularization with the splenic artery.Arch Surg 1981;116(9:1232–1235.
MANLY RJ, BELZER FO. Spontaneous reversal of renal failure by renal artery recanalization.Arch Surg 1981;116:107–109.
DOBRZINSKY SJ, VOEGELI E, GRANT HA, et al. Spontaneous reestablishment of renal function after complete occlusion of a renal artery.Arch Intern Med 1971;128(2:266–268.
LOHSE JR, SHORE RM, BELZER FO. Acute renal artery occlusion: the role of collateral circulation.Arch Surg 1982;117(6:801–804.
FLYE MW, ANDERSON RW, FISH JC, et al. Successful surgical treatment of anuria caused by renal artery occlusion.Ann Surg 1982;195(3:346–353.
BAGI P, HELGSTRAND U, BUCHARDT-HANSEN HJ. Surgical treatment of anuria caused by renal artery occlusion. Case report.Scand J Urol Nephrol 1987;21(4:323–324.
MAY J, SHEIL AG, HORVATH J, et al. Reversal of renal failure and control of hypertension in patients with occlusion of the renal artery.Surg Gynecol Obstet 1976;143(3:411–413.
DEAN RH, LAWSON JD, HOLLIFIELD JW, et al. Revascularization of the poorly functioning kidney.Surgery 1979;85:44–52.
LAWRIE GM, MORRIS GC JR, DEBAKEY ME. Long-term results of treatment of the totally occluded renal artery in forty patients with renovascular hypertension.Surgery 1980;88:753–759.
WHITEHOUSE WM Jr, KAZMERS A, ZELENOCK GB, et al. Chronic total renal artery occlusion: effects of treatment on secondary hypertension and renal function.Surgery 1981;89(6:753–763.
DOSTAL G, HEIHOFF JJ, JAKUBOWSKI HD, et al. Renal revascularization in 36 patients with chronic total occlusion of the renal artery.Proc Eur Dial Transplant Assoc 1983;20:587–592.
TORSELLO G, SANDMANN W, GRABENSEE B, et al. Nierenarterienverschluβ. Blutdruck und nierenfunktion vor und nach operativer behandlung (Renal artery occlusion. Blood pressure and kidney function before and after surgical treatment).Deutsch Med Wochenschr 1983;108(24:945–950.
PERONA PG, BAKER WH, FRESCO R, et al. Successful revascularization of an occluded renal artery after prolonged anuria.J Vasc Surg 1989;9:817–821.
MORRIS GC Jr, HEIDER CF, MOYERS JH. The protective effect of subfiltration arterial pressure on the kidney.Surg Forum 1955 (published 1956);6:623–627.
MILLAN VG, SHER MH, DETERLING RA JR, et al. Transcatheter thromboembolectomy of acute renal artery occlusion.Arch Surg 1978;113(9:1086–1092.
BUSSMANN WD, GRÜTZMACHER P. Transluminal angioplastik bei akutem verschluβ der nierenarterie (Transluminal angioplastic [sic] in acute occlusion of the renal artery).Deutsch Med Wochenschr 1982;107(42:1584–1587.
CRONAN JJ Jr, DORFMAN GS. Low dose thrombolysis: a nonoperative approach to renal artery occlusion.J Urol 1983;130(4:757–759.
ADLER J, IBRAHIM IM, GOLDMAN M, et al. Combined thrombolysis with low-dose streptokinase and angioplasty in the treatment of renal artery occlusion.Urol Radiol 1983;5(2:113–116.
KADIR S, WATSON A, BURROW C. Percutaneous transcatheter recanalization in the management of acute renal failure due to sudden occlusion of the renal artery to a solitary kidney.Am J Nephrol 1987;7(6:445–449.
LIBERTINO JA, ZINMAN L, BRESLIN DJ, et al. Renal artery revascularization; restoration of renal function.JAMA 1980;244:1340–1342.
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Schneider, J.R., Wright, A. & Mitchell, R.S. Successful percutaneous balloon catheter treatment of renal artery occlusion and anuria. Annals of Vascular Surgery 6, 533–536 (1992). https://doi.org/10.1007/BF02000826
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DOI: https://doi.org/10.1007/BF02000826