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著者: G Glück, M Croitoru, D Deleanu, P Platon
雑誌名: Eur Urol. 2000 Sep;38(3):339-43. doi: 20303.
Abstract/Text
OBJECTIVE: To determine the utility of local thrombolysis in the treatment of acute renal arterial occlusion.
METHODS: We used local thrombolytic treatment in a female patient, aged 76, with 72 h of anuria, right lumbar and flank pain. She had a 3-year history of ischemic heart disease and atrial fibrillation controlled with digital treatment. Also, she was nephrectomized on the left side 33 years ago for lithiasic pyonephrosis. A normal right urinary tract was demonstrated with ultrasound examination, KUB radiography and retrograde pyelography. The next step was diagnostic abdominal angiography and local thrombolytic treatment with streptokinase.
RESULT: Thrombolysis with streptokinase was successful following 72 h of renal artery occlusion. After 24 months the patient is doing well.
CONCLUSION: Local intra-arterial thrombolysis is the treatment of choice in renal artery occlusion.
PMID 10940710 Eur Urol. 2000 Sep;38(3):339-43. doi: 20303.
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