A case of bilateral renal infarction
Fukatsu, T.; Kurimoto, K.; Kanai, M.; Shibahara, T.; Fumino, M.; Yoshimura, N.; Hayashi, N.; Arima, K.; Yanagawa, M.; Kawamura, J.; Kinoshita, N.; Kato, H.
Hinyokika Kiyo. Acta Urologica Japonica 43(11): 781-784
1997
ISSN/ISBN: 0018-1994 PMID: 9436021 Document Number: 482871
A 67-year-old woman was admitted with aching pain in her left flank and nausea. Bilateral renal infarctions were noticed by CT scan and arteriography. Selective intra-arterial thrombolytic therapy was performed. Urokinase (UK) was administered through a balloon catheter embedded into the occlusive segment of the left renal artery selectively. UK (20,000 units/hour) was continuously infused after short-term high dose UK (360,000) infusion. In spite of recanalization of the occluded artery, CT scan and renoscintigraphy image did not suggest recovery of renal function. Conservative intra-arterial thrombolytic therapy is considered to be the most effective treatment for renal infarction.