November 1981

Restoration of Renal Function After Bilateral Renal Artery Occlusion

Author Affiliations

From the Departments of Medicine (Drs Wasser, Krakoff, and Glabman), Surgery (Dr Haimov), and Radiology (Dr Mitty), Mount Sinai Medical Center, New York. Dr Wasser is now with The Rockefeller University, New York.

Arch Intern Med. 1981;141(12):1647-1651. doi:10.1001/archinte.1981.00340130085019

• 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)