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DOI: 10.1055/s-2007-971188
Utility of Percutaneous Treatment in Spontaneous Renal Artery Dissection: Case Report and Review of the Literature
Publication History
Publication Date:
27 March 2007 (online)
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ABSTRACT
Spontaneous renal artery dissection (SRAD) is a relatively rare entity that has been described in several case reports and small series in the medical literature. The condition is best diagnosed with angiography, with renal ischemia or infarction a common complication. Conservative medical management, surgical intervention, and percutaneous intervention are all discussed in the current literature. However, there is no consensus on which treatment option provides the best clinical outcome. Percutaneous stent placement has only recently been considered as an option for treatment of SRAD. This case report reviews the course of an otherwise healthy patient with a solitary right kidney who had SRAD complicated by renal infarction and was treated by percutaneous renal artery stent placement. Subsequently, we discuss and review the literature on SRAD treatment.
KEYWORDS
Spontaneous renal artery dissection - percutaneous treatment - stent - renal ischemia
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Myron WojtowyczM.D.
Professor, Angiointerventional Section, Department of Radiology, University of Wisconsin Hospital and Clinics
600 Highland Avenue, Madison, WI 53792