A case of traumatic renal artery dissection with renal infarction treated by endovascular stenting |
Sung Won Park, Hyun Hee Na, Sang Hyun Park, Ghi Jai Lee, Young Kwon Cho, Haeng Il Koh |
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신경색을 동반한 외상성 신동맥 박리를 스텐트 삽입술로 치료한 1예 |
박성원·나현희·박상현·이기재·조영권·고행일, Hyun Hee Na, Sang Hyun Park, Ghi Jai Lee, Young Kwon Cho, Haeng Il Koh |
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Abstract |
Renal artery dissection may be caused by iatrogenic injury, trauma, or underlying arterial disease such as fibromuscular disease,
atherosclerotic disease, or connective tissue disease. The treatment for renal artery dissection is chosen based on the patient’s hemodynamic
status, renal function, and the feasibility of the treatment modality. However treatment and long-term management of renal
artery dissection is controversial.
A 43 year-old man visited the emergency department after being jammed in a cultivator. He complained of abdominal pain and
vomiting. We performed abdominopelvic computed tomography and found a right renal artery dissection with infarction. At 24
hours after the accident, he was treated with balloon dilatation and endovascular stenting of the right renal artery. He was discharged
without renovascular hypertension or renal insufficiency complications. (Korean J Med 77:S1237-S1240, 2009) |
Key Words:
Dissection; Trauma; Renal artery |
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