신부전이 동반된 허혈성 신증환자의 일측 신동맥 협착에 대한 성공적인 중재적 스텐트 삽입술

• Published in: Kidney research and clinical practice Vol. 25; no. 6; pp. 1047 - 1054
• Main Authors: 정현정, Hyun Jung Jung, 강경미, Kyung Mi Kang, 오병선, Byoung Sun Oh, 이상주, Sang Ju Lee, 장윤경, Yoon Kyung Chang, 김지창, Ji Chang Kim, 김석영, Suk Young Kim, 장윤식, Yoon Sik Chang, 방병기, Byung Kee Bang
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 30.11.2006
• Subjects: Atherosclerotic renovascular stenosis; Ischemic nephropathy; Renal angioplasty with stenting; 내과학
• ISSN: 2211-9132; 2211-9140

Ischemic nephropathy is defined as renal dysfunction due to renal hypoperfusion mainly through renal artery stenosis. It is a common cause of chronic renal failure in old patients with atherosclerosis and is also a potentially correctable cause of renal failure if diagnosed earlier. We experienced a case of sudden Rt. main renal artery occlusion and renal failure after femoral artery angioplasty in an aged male patient with underlying atherosclerotic bilateral renovascular stenosis associated with ischemic nephropathy. He received successful Lt. renal artery angioplasty with stenting and restored Lt. renal artery blood flow. His blood pressure was more easily controlled with fewer antihypertensive drugs after renal artery revascularization. His renal function was recovered to his baseline level and became stabilized thereafter. Early diagnosis of ischemic nephropathy with MRA and timely renal angioplasty with stenting are beneficial to avoiding progression to irreversible renal failure. (Korean J Nephrol 2006;25(6):1047-1053)