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Renal revascularization by extra-anatomic bypass.

R A McCready, G L Hyde, C B Ernst

Journal of Vascular Surgery

|July 1, 1984

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Sudden anuria without obstruction requires arteriography to diagnose acute renal arterial occlusion. Surgical exploration is advised, as successful revascularization can restore kidney function.

Area of Science:

Nephrology
Vascular Surgery
Radiology

Background:

Acute renal arterial occlusion presents as sudden anuria without urinary obstruction.
Determining kidney viability in acute renal arterial occlusion is challenging due to lack of definitive clinical or radiologic criteria.

Observation:

Patients with sudden anuria and no obstruction require arteriography for diagnosis and surgical planning.
Collateral circulation can preserve kidney viability in cases of acute renal arterial occlusion.

Findings:

Surgical exploration is recommended for patients with acute renal arterial occlusion when salvageability is uncertain.
Successful renal revascularization leads to significant recovery of renal function.

Implications:

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Prompt diagnosis and surgical intervention, such as axillofemoral-renal bypass, are crucial for kidney salvage.
This approach offers a gratifying return of renal function for affected patients.