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Acute arterial occlusion - kidney

Definition

Acute renal arterial thrombosis is a sudden, severe blockage of the artery that supplies the kidney.

Alternative Names

Acute renal arterial thrombosis; Renal artery embolism; Acute renal artery occlusion; Embolism - renal artery

Causes

The kidneys are very sensitive to the amount of blood that flows through them. Any reduction of blood flow through the renal artery can impair kidney function. If prolonged, a complete blockage of blood flow to the kidney often results in permanent failure of the kidney.

Lack of functioning of one kidney may not cause symptoms because the second kidney adequately filters the blood. Hypertension may develop, however. If there is not a second functional kidney, blockage of the renal artery may cause symptoms of acute kidney failure.

Acute arterial occlusion of the kidney may occur after injury or trauma to the abdomen, side, or occasionally the back. Emboli (blood clots that travel through the blood stream) may lodge in the renal artery.

The risk of emboli increases if there is a history of certain heart disorders such as mitral stenosis or atrial fibrillation. Individuals with disorders that make them highly likely to form clots may be particularly vulnerable to acute renal artery occlusions.

Occasionally, renal artery stenosis may increase the risk of a sudden occlusion due to clot formation.


Review Date: 1/19/2004
Reviewed By: Irfan A. Agha, M.D., Department of Medicine, St. Louis University, St. Louis, MO. Review provided by VeriMed Healthcare Network.
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