NDT Plus Advance Access originally published online on March 31, 2009
NDT Plus 2009 2(3):236-238; doi:10.1093/ndtplus/sfp012
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Recovery of renal function after delayed percutaneous dilation of a subtotal in-stent restenosis of the renal artery in a left solitary kidney
1 Department of Cardiology and Angiology, University of Heidelberg, Im Neuenheimer Feld 410
2 Department of Nephrology, University of Heidelberg, Im Neuenheimer Feld 162, 69120 Heidelberg, Germany
Correspondence: Correspondence and offprint requests to: Alexandra R. Zankl, Department of Cardiology and Angiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. Tel: +49-6221-56-38936; Fax: +49-6221-56-6896; E-mail: Alexandra.Zankl{at}med.uni-heidelberg.de
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Abstract |
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In-stent restenosis of a previously atherosclerotic renal artery stenosis initially treated with endovascular stenting may progress to subtotal occlusion and loss of renal function. The clinical course of an acute occlusion is mainly acute oligo-anuric renal failure. Therefore, rapid diagnosis and treatment are critical for renal survival. Even after successful endovascular treatment, a close clinical monitoring, and optimized medical treatment including sufficient blood pressure control, lipid lowering and platelet inhibition, is mandatory to prolong the preservation of renal function. Here we present a patient with subtotal in-stent stenosis affecting the left solitary kidney and recovery of renal function 24 h after the revascularization procedure.
Key Words: renal artery in-stent stenosis • renal artery stenosis • renal failure • renal hypertension
Received for publication January 11, 2009. Accepted for publication January 15, 2009.