• Five patients had anuric renal failure caused by occlusion of the main renal arteries. All had a background of controlled hypertension, but in three patients, hypertension accelerated in the months before anuria. Extensive atherosclerotic disease was clinically evident in the peripheral (3/5), coronary (4/5), and cerebral (1/5) vessels. Identifiable precipitating events preceded the development of anuria in four patients. Although the use of renal ultrasonogram and scintiscan was suggestive, angiography was essential to establish the diagnosis after a brief period of maintenance hemodialysis. Renal artery revascularization performed as long as 38 days after the onset of anuria resulted in restoration of kidney function.
(Arch Intern Med 1981;141:1647-1651)
Wasser WG, Krakoff LR, Haimov M, Glabman S, Mitty HA. Restoration of Renal Function After Bilateral Renal Artery Occlusion. Arch Intern Med. 1981;141(12):1647-1651. doi:10.1001/archinte.1981.00340130085019