Revascularization of traumatic renal artery dissection by endoluminal stenting: Three cases

被引:15
作者
Chabrot, Pascal [1 ]
Cassagnes, Lucie [1 ]
Alfidja, Agaicha [1 ]
Mballa, Jean Claude [1 ]
Nasser, Samer [1 ]
Guy, Laurent [1 ]
Diop, Abdoulaye Ndoye [1 ]
Ravel, Anne [1 ]
Boyer, Louis [1 ]
机构
[1] CHU G Montpied, F-63003 Clermont Ferrand 1, France
关键词
Angioplasty; arteries; interventional; stents; urinary; vascular; BLUNT TRAUMA; SURGICAL-MANAGEMENT; RENOVASCULAR TRAUMA; PALMAZ STENT; INJURIES; KIDNEY;
D O I
10.3109/02841850903473314
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Traumatic injury of renal arteries is rare and can induce renal dysfunction and hypertension. Management options include observation, nephrectomy, surgical repair, and, more recently, percutaneous angioplasty. We report three cases of renal artery thrombosis occurring in young multitrauma patients (mean age 28.7 years) treated with stenting. Immediate satisfactory results were obtained in all cases. Postprocedure anticoagulant and antiplatelet treatment were given according to associated contraindicating lesions. During follow-up, in-stent restenosis occurred in one patient and was treated successfully with a second stenting procedure. No renal dysfunction or hypertension was observed after 28.6 months follow-up. Percutaneous angioplasty is a valuable alternative to surgical treatment in selected patients.
引用
收藏
页码:21 / 26
页数:6
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