In Reply to: Re: Case 0300_01 --Renal Artery Occlusion: Thrombolysis with TPA posted by Steve Oglevie on March 07, 2000 at 23:54:02:
Nice case, but may not help much.
1. Infarction is infarction; while recanalization will likely result in resolution of ATN, frankly infarcted tissue will not recover. The problem is that it is hard to tell the difference acutely other than to say that the pain is probably an indication of some degree of infarct.
2. Unless you want to postulate that an embolus went through an ostial stenosis rather than hitting any one of the other more likely targets, embolization is not a likely issue here.
3. stenting across branches is rarely a problem
4. Why a Corinthian? Are you aware of any reliable patency data for this stent in the renal arteries? Is it that much trouble to deliver the (proven) Palmaz 154? The multicenter trial of the original articulated Palmaz had horrendous restenosis; the (subtly) revised 154 does not; small differences in stent design may well matter in the renals, and using unstudied stents may carry a price.