Successful endovascular treatment of bilateral renal artery paradoxical embolus by a modified standard technique. |
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| Authors: | Yann Goueffic Roger Carbajal Marc Burban Gilles Blancho |
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| Institution: | Service de Chirurgie Vasculaire Hopital Laennec, Saint Herblain, France. |
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| Abstract: | |
Introduction
| Paradoxical embolism is a rare cause of severe renal arteryocclusion and is frequently under-diagnosed 1]. Rapid endovascular intervention with minimal morbidity may makeclot removal possible and reverse organ function 2,3]. We present here the case of a patient with an acute renal failuredue to a bilateral renal artery paradoxical embolism that wassuccessfully treated by a modified standard technique of anendovascular procedure, with a rapid mechanical and local pharmacologicalthrombolysis. The patient partially recovered her renal functionand was able to stop dialysis.
Case report
| A 70-year-old female with a past medical history of type IIdiabetes, hypertension and dyslipidaemia was admitted for pulmonaryembolism associated with a recurrent deep vein thrombosis ofthe right lower extremity. The anti-coagulation treatment wasinitially well tolerated, but had to
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| Keywords: | renal artery paradoxical embolus endovascular treatment |
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