Renal Artery Embolism: Prospective Study of 41 Patients Based on a Diagnostic and Therapeutic Algorithm

Fort, Joan; Segarra1, Alfons; Matas, Manel; Segarra, Antonio; Camps, Joaquim

Renal Artery Embolism: Prospective Study of 41 Patients Based on a Diagnostic and Therapeutic Algorithm

Joan Fort^{1, *}, Alfons Segarra1¹, Manel Matas², Antonio Segarra³, Joaquim Camps¹

¹ Department of Nephrology

² Department of Vascular Surgery and

³ Department of Interventional Angiography., Hospital General Universitari Vall dHebron., Universitat Autnoma., Barcelona., Spain

Article Information

Identifiers and Pagination:

Year: 2008
Volume: 1
First Page: 9
Last Page: 15
Publisher ID: TOUNJ-1-9
DOI: 10.2174/1874303X00801010009

Article History:

Received Date: 11/1/2008
Revision Received Date: 7/2/2008
Acceptance Date: 11/2/2008
Electronic publication date: 21/2/2008
Collection year: 2008

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open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

^* Address correspondence to this author at the Department of Nephrology., Hospital General Universitari Vall d'Hebron., Universitat Autónoma., P^º Vall D'Hebron 119-129., 08035., Barcelona., Spain, Tel: +34934893000., Ext. 6476, Fax: + 34 932746204, E-mail: 9159jfr@comb.es

Renal artery embolism (RAE) is an underdiagnosed condition leading to acute renal failure in patients with a single functioning kidney. We prospectively studied 41 patients according to a previously validated algorithm based on Lactate Dehydrogenase (LDH) determination., which enables us to identify RAE patients and allocate them to a different protocolled treatment.

The most frequent symptom was atypical low back pain. Atrial fibrillation was present in 65.8% of patients. The most frequent site of the embolism was the main renal artery of a single kidney. Surgery was performed in 13 patients., fibrino-lytic treatment in 17 and anticoagulation in 11. Mean LDH levels were 1690 ± 1108 U/L. Oliguria was present in 15 pa-tients. Hemodialysis requirements were not different between patients with main RAE or intrarenal embolism., or according to treatment group.

Conclusions:

Our results indicate that the use of a diagnostic algorithm based on LDH values is useful for identifying RAE patients. Further randomized trials are needed to compare results on treatment.

Keywords : Nephroureterectomy, laparoscopic, oncologic outcomes.

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RESEARCH ARTICLE

Renal Artery Embolism: Prospective Study of 41 Patients Based on a Diagnostic and Therapeutic Algorithm

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