Traumatic Renal Artery Occlusion in a Patient with a Solitary Kidney: Case Report of Treatment with Endovascular Stent and Review of the Literature

Author: Dowling Jason M.   Lube Matthew W.   Smith Chadwick P.   Andriole Joseph  

Publisher: Southeastern Surgical Congress

ISSN: 0003-1348

Source: The American Surgeon, Vol.73, Iss.4, 2007-04, pp. : 351-353

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Abstract

Renal artery occlusion after blunt trauma is a rare occurrence, and the optimal treatment for this condition has not been established. To our knowledge, endovascular repair for blunt renal artery occlusion in a solitary kidney has not been described in the literature. This case report describes a 42-year-old woman with a solitary left kidney presenting with total occlusion of the left renal artery after a significant crush injury. She was successfully treated by percutaneous placement of an endovascular stent. Postprocedure, the patient developed acute renal failure requiring temporary dialysis. At follow-up 4 months later, the patient has normal urinary output and a normal creatinine.

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