Renal artery embolism: thrombolysis with recombinant tissue-type plasminogen activator

The case of a patient with acute occlusion of the right renal artery due to an embolus is described. Using transoesophageal echocardiography, the left atrial appendage could be identified as the source of embolism. Twenty hours after the onset of symptoms, the embolus could be successfully dissolved...

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Bibliographic Details
Published in:	Journal of internal medicine Vol. 228; no. 3; p. 279
Main Authors:	Mügge, A, Gulba, D C, Frei, U, Wagenbreth, I, Grote, R, Daniel, W G, Lichtlen, P R
Format:	Journal Article
Language:	English
Published:	England 01-09-1990
Subjects:	Aged Embolism - drug therapy Humans Male Recombinant Proteins Renal Artery Obstruction - drug therapy Tissue Plasminogen Activator - therapeutic use
Online Access:	Get more information
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Description
Summary:	The case of a patient with acute occlusion of the right renal artery due to an embolus is described. Using transoesophageal echocardiography, the left atrial appendage could be identified as the source of embolism. Twenty hours after the onset of symptoms, the embolus could be successfully dissolved with an intra-arterial low-dose infusion of recombinant tissue-type plasminogen activator (10 mg loading dose, 20 mg continuous infusion within 12 h).
ISSN:	0954-6820
DOI:	10.1111/j.1365-2796.1990.tb00232.x