Spontaneous renal artery dissection: three cases and clinical algorithms

Area of Science:

• Nephrology
• Vascular Surgery
• Diagnostic Imaging

Background:

• Spontaneous renal artery dissection (SRAD) is an uncommon vascular emergency.
• Clinical presentation of SRAD ranges from asymptomatic to severe hypertension.
• Early diagnosis and management are crucial for patient outcomes.

Observation:

• Three distinct cases of SRAD were analyzed from our institution.
• A comprehensive literature review on SRAD was performed.
• Patient data included demographics, symptoms, diagnostic methods, and treatment strategies.

Findings:

• SRAD diagnosis can be challenging due to nonspecific symptoms.
• Multidetector CT angiography is the preferred imaging modality for SRAD.
• Treatment algorithms should be tailored to individual patient factors and dissection extent.

Implications:

• Development of standardized diagnostic and treatment algorithms for SRAD.
• Improved clinical recognition and timely management of SRAD.
• Potential reduction in morbidity and mortality associated with SRAD.