Renal artery occlusion and infarction with Sotradecol

Sodium tetradecyl sulfate 3% (Sotradecol) was perfused into a proximally obstructed renal artery in ten random-source adult dogs. In all animals, the intra-arterial injections of Sotradecol produced immediate thrombosis of the renal arteries. Angiographic studies, lasting up to ten weeks, on eight dogs demonstrated persistent occlusion. In one dog, unintentional thrombosis occurred in the opposite renal artery due to reflux of Sotradecol. Histopathologic studies showed total obliteration of the renal arteries through organized thrombosis, intimal sclerosis, and luminal collapse. In all dogs, the kidneys were not visible, and diffuse renal infarction was confirmed by histologic studies of five dogs.