ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2013
Evaluation of characteristics, associations and clinical course of isolated spontaneous renal artery dissection.
Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 43 citations in OpenAlex.
- Spontaneous renal artery dissection with renal artery stenting: A case report.Urology case reports · 2026Article
- Characteristics, treatment, and outcomes of spontaneous renal artery dissection: a 10-year retrospective single-center experience.Quantitative imaging in medicine and surgery · 2024Article
- Spontaneous renal artery dissection complicated by renal infarction: description of two cases.Quantitative imaging in medicine and surgery · 2022Article
- Spontaneous renal artery dissection: an elusive diagnosis.BMJ case reports · 2021Article
- Beyond Atherosclerosis and Fibromuscular Dysplasia: Rare Causes of Renovascular Hypertension.Hypertension (Dallas, Tex. : 1979) · 2021Review
- Aortic dissection or spontaneous renal artery dissection, a rare diagnosis?CEN case reports · 2020Article
- Unexpected presentation and surgical salvage of transplant renal artery dissection caused by vascular clamping: a case report.BMC nephrology · 2020Article
- Spontaneous Renal Artery Dissection in a Man with Previous Spontaneous Superior Mesenteric Artery Dissection.Case reports in vascular medicine · 2020Article
- Spontaneous Renal Artery Dissection in Ehler-Danlos Syndrome.Kidney international reports · 2019Article
- Renal Artery Stenting Recovered Renal Function after Spontaneous Renal Artery Dissection.Internal medicine (Tokyo, Japan) · 2019Article
- Diagnostic value of color Doppler sonography for spontaneous isolated superior mesenteric artery dissection.Experimental and therapeutic medicine · 2019Article
- Spontaneous renal artery dissection masquerading as urinary tract infection.BMJ case reports · 2018Article
- Renal artery fibromuscular dysplasia and its effect on the kidney.Hypertension research : official journal of the Japanese Society of Hypertension · 2018Review
- Spontaneous renal artery dissection associated with sexual intercourse: a case report.International medical case reports journal · 2018Article
- Spontaneous renal artery dissection presenting as an aortic dissection: a case report.Journal of medical case reports · 2016Article
- Spontaneous Renal Artery Dissection Complicated by Renal Infarction: Three Case Reports.Vascular specialist international · 2016Article
- Isolated Spontaneous Renal Artery Dissection Presented with Flank Pain.Case reports in radiology · 2015Article
- Urolithiasis mimic: isolated spontaneous renal artery dissection in the emergency department.Acute medicine & surgeryArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundSpontaneous renal artery dissection (SRAD) is a rare entity of unknown etiology. We aimed to study the clinical course and outcomes and compare the characteristics of patients with SRAD with those of the general population.
methodsAll cases of isolated renal artery dissection diagnosed at the University of Michigan Hospitals between January 2000 and July 2012 were identified by the ICD-9 code. Cases were matched by age, gender and race with individuals from the 2009-2010 National Health and Nutrition Examination Survey (NHANES). Characteristics and awareness of comorbid conditions were compared. Information about the clinical course after diagnosis was retrieved from the case group to ascertain their outcomes.
resultsOverall, 17 patients with SRAD with a mean age of 38.6 years (SD = 8.3) were identified. Eleven patients were male and 14 were white. The most common presenting symptom was excruciating sudden-onset flank pain ipsilateral to the site of dissection. Fibromuscular dysplasia, Ehlers-Danlos and polyarteritis nodosa were present in 4, 4 and 1 patients, respectively. After adjusting in a multivariable model, the case group was more likely to report history of hypertension, cancer and connective tissue disorders (P < 0.001), and less likely to have obesity (BMI ≥30 kg/m(2)) compared with the general population. Supportive medical treatment, endovascular intervention and surgery were required in 8, 5 and 4 cases, respectively. After discharge from the hospital, hypertension was adequately controlled in all the patients but one.
conclusionSRAD may be part of a syndrome having multi-organ involvement. With appropriate medical or surgical management, long-term clinical outcome appears favorable.
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