@article{3103528,
    title = "Revascularization of a single-kidney occluded stent for renal salvage complicated by guide wire distal artery perforation and reperfusion injury",
    author = "Pastroma, A. and Spiliopoulos, S. and Palialexis, K. and Reppas, L. and Brountzos, E.",
    journal = "The Egyptian Journal of Radiology and Nuclear Medicine",
    year = "2020",
    volume = "51",
    number = "1",
    publisher = "Springer-Verlag",
    issn = "0378-603X",
    doi = "10.1186/s43055-020-00284-1",
    keywords = "acetylsalicylic acid;  cefazolin;  clonidine;  clopidogrel;  creatinine;  heparin;  nifedipine;  povidone iodine, adult;  artery perforation;  Article;  blood clot lysis;  case report;  clinical article;  coil embolization;  creatinine blood level;  digital subtraction angiography;  female;  follow up;  human;  hypertension;  in-stent restenosis;  kidney artery;  kidney function;  kidney ischemia;  lung edema;  medical history;  percutaneous transluminal angioplasty;  priority journal;  reperfusion injury;  revascularization;  solitary kidney;  thrombus",
    abstract = "Background: The complexity of the case, including the rarefied simultaneous occurrence of complications—iatrogenic, as well as reperfusion injury, invite reporting and publication. Case presentation: A 39-year-old woman with a single-functioning left kidney, previous left renal artery stenting (RAS), and known hypercoagulopathy was hospitalized for flash pulmonary edema, elevated serum creatinine (9.7 mg/dl), and refractory hypertension. She was subsequently referred to our center [2] for endovascular treatment of acute renal ischemia (AKI) due to RAS occlusion. Periprocedural complications of guide-wire arterial perforation and reperfusion injury resulted in life-threatening hemorrhage. Conclusions: Following more than 48 h of hypoperfusion of the left kidney, revascularization of the thrombosed RAS was successfully attempted with selective, trans-catheter thrombolysis, and balloon angioplasty. Ultra-selective, nephron-sparing coil embolization was successfully performed. The patient’s creatinine level decreased to 2.8 mg/dl at 12 days and to 1.5 mg/dl at 3 months. After 1 year of follow-up, the stent remains patent, and the patient is asymptomatic with stable renal function. © 2020, The Author(s)."
}