Application of catheter aspiration combined with catheterization thrombolysis in the treatment of acute renal infarction
10.3969/j.issn.1009-8291.2024.08.010
- VernacularTitle:导管抽吸配合置管溶栓治疗急性肾梗死的体会
- Author:
Zhi YANG
1
;
Jiaxing WANG
;
Jie ZHANG
;
Lin YANG
;
Guanbo ZHANG
;
Gang LI
;
Jinsong LI
;
Shijie JIANG
Author Information
1. 成都市第七人民医院血管外科,四川成都 610000
- Keywords:
acute renal infarction;
atrial fibrillation;
catheter thrombolysis;
thrombus aspiration
- From:
Journal of Modern Urology
2024;29(8):708-712
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and effectiveness of catheter aspiration combined with catheterization thrombolysis in the treatment of acute renal infarction(ARI),so as to provide reference for the treatment of this disease.Methods A retrospective analysis was conducted on the clinical and follow-up data of 11 ARI patients treated with catheter aspiration combined with catheter thrombolysis at our hospital during Jan.2019 and Jun.2023.Results Among the 11 patients,upon admission,7 manifested with abdominal pain,5 with lumbar pain,5 with nausea,and 1 with fever.All patients were successfully treated with catheter aspiration combined with catheterization and thrombolysis.After thrombolysis,computed tomography angiography(CTA)showed the renal artery trunk and branch vessels.In 11 patients,the renal artery,branch artery and splenic artery branch vessels were patent.D2 aggregates returned to the normal level 1 month after surgery(＜0.5 mg/L).During the follow-up of 3,6,12 months,no previous symptoms were observed.Ultrasound or CTA showed that the renal artery remained unobstructed.Conclusion The use of catheter aspiration combined with catheter thrombolysis for the treatment of ARI caused by renal artery thrombosis is effective,minimally invasive,and worth clinical promotion.
