Modern aspects of diagnostics and treatment of renal infarction

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Abstract

One of the causes of acute kidney injury is the renal artery thrombosis. Clinical manifestations depend on the level of thrombus. This pathology is characterized by non-specific clinical manifestations in the early period, the complexity of differential diagnosis, often delayed verification of the diagnosis and unfavorable prognosis in case of prolonged (5-7 days) anuria.

There is no generally accepted protocol for the diagnosis and treatment of renal artery thrombosis. To clarify the diagnosis, intravenous urography, radionuclide renography, and contrast-enhanced computed tomography are recommended. Until recently, patients with suspected renal artery thrombosis were treated with anticoagulant therapy and renal replacement therapy with hemodialysis, which is required constantly as renal function was usually irreversibly impaired. Surgical treatment is effective only in the first hours. The outcome is often unfavorable, the probability of hemorrhagic complications is high. Due to the rare frequency of detection and verification of renal infarction, no consensus has been reached regarding the diagnosis or treatment of this condition.

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About the authors

S. V. Popov

SPb GBUZ «City Hospital Saint Luka»; Department of Hospital Surgery of Saint-Petersburg State University; FGBVOU VO S.M. Kirov Military Medical Academy of the Ministry of Defense of Russian Federation

Author for correspondence.
Email: doc.popov@gmail.com

Ph.D., MD, professor at the Department of Urology, Chief 

Russian Federation, Saint Petersburg; Saint Petersburg; Saint Petersburg

I. N. Orlov

SPb GBUZ «City Hospital Saint Luka»

Email: doc.orlov@gmail.com

Ph.D., Head of the Department of Urology

Russian Federation, Saint Petersburg

T. M. Topuzov

GBUZ “Public Hospital of Saint Luca”

Email: ttopuzov@gmail.com

Ph.D., urologist, andrologist, Department of Urology

Russian Federation, Saint Petersburg

S. M. Malevich

SPb GBUZ «City Hospital Saint Luka»

Email: malevichsm@gmail.com

urologist at the Department of Urology

Russian Federation, Saint Petersburg

D. Yu. Chernysheva

GBUZ “Public Hospital of Saint Luca”

Email: daria.chern@gmail.com

Ph.D., urologist, andrologist, Department of Urology

Russian Federation, Saint Petersburg

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