Recovery of function in a solitary kidney after intra-arterial thrombolytic therapy

R. E. Skinner, T. Hefty, T. D. Long, J. Rosch, M. Forsyth

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Renal artery thromboembolism is a rare event that most often occurs in patients with cardiac dysrhythmias. Surgical thromboembolectomy is risky and medical therapy with intra-arterial thrombolytic agents has become increasingly popular. Although successful clot dissolution has been well documented, renal function often is not recovered. We describe a patient with anuria from thromboembolism to a solitary kidney, treated with low dose intra-arterial streptokinase infusion. There were no adverse effects from therapy and renal function returned to a point where dialysis was no longer required. A review of the literature is included with special attention to various protocols for infusion. Early diagnosis and prompt initiation of therapy may result in clinically significant recovery of renal function.

Original languageEnglish (US)
Pages (from-to)108-110
Number of pages3
JournalJournal of Urology
Volume141
Issue number1
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Urology

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