We report the case of a 60-year-old patient with acute renal failure and occluded bilateral renal arteries presenting with acute pulmonary edema and non-ST segment elevation myocardial infarction. The patient required renal replacement therapy with hemodialysis and was subsequently successfully treated with bilateral renal artery stent placement. Marked improvement in renal function was noted within 1 week with freedom from the need for renal replacement therapy at 4 months of follow-up.
3 Balk E Raman G Chung M . Effectiveness of management strategies for renal artery stenosis: a systemic review. Ann Intern Med2006; 145: 901–912.
4.
4 Morris G Debakey M Cooley D . Surgical treatment of renal failure of renovascular origin. JAMA1962; 182: 113–116.
5.
5 Cases A Campistol J Abad C . Reversal of renal failure after revascularization in atheromatous renovascular disease. Am J Nephrol1988; 8: 479–482.
6.
6 Roche Z Rutecki G Cox J . Reversible acute renal failure as a typical presentation of ischemic nephropathy. Am J Kidney Dis1993; 22: 662–667.
7.
7 Hansen KJ Thomason RB Craven TE . Surgical management of dialysis-dependent ischemic nephropathy. J Vasc Surg1995; 21: 197–211.
8.
8 White CJ Jaff MR Haskal ZJ . Indications for renal arteriography at the time of coronary arteriography: a science advisory from the American Heart Association. Circulation2006; 114: 1892–1895.
9.
9 Schreiber MJ Pohl MA Novick AC . The natural history of atherosclerotic and fibrous renal artery disease. Urol Clin North Am1984; 11: 383–392.
10.
10 Zierler RE Bergelin RO Isaacson JA . Natural history of atherosclerotic renal artery stenosis: a prospective study with duplex ultrasonography. J Vasc Surg1994; 19: 250–258.
11.
11 Caps MT Zierler RE Polissar NL . Risk of atrophy in kidneys with atherosclerotic renal artery stenosis. Kidney Int1994; 53: 735–742.
12.
12 Morris G Heyder C Mayer J . The protective effect of sub filtration arterial pressure on the kidney. Surg Forum1956; 6: 623–627.
13.
13 Textor SC . Ischemic nephropathy: where are we now. J Am Soc Nephrol2004; 15: 1974–1982.
14.
14 Korsakas S Mohaupt MG Dinkel HP . Delay of dialysis in end-stage renal failure: prospective study on percutaneous renal artery interventions. Kidney Int2004; 65: 251–258.
15.
15 Watson PS Hadjipetrou P Cox SV . Effect of renal artery stenting on renal function and size in patients with atherosclerotic renovascular disease. Circulation2001; 102: 1671–1677.
16.
16 Hallett JW Textor SC Kos PB . Advanced renovascular hypertension and renal insufficiency: trends in medical comorbidity and surgical approach from 1970 to 1993. J Vasc Surg1995; 21: 750–759.
17.
17 Weight SC Bell PF Nicholson ML . Renal ischemia–reperfusion injury. Br J Surg1996; 83: 162–170.
18.
18 Dean RH Tribble RW Hansen KJ . Evolution of renal insufficiency in ischemic nephropathy. Ann Surg1991; 213: 446–455.
19.
19 Piercy KT Mostafavi K Craven TE . Open operative management of dialysis-dependent ischemic nephropathy. Dial Transplant2007; 36: 192–204.
20.
20 Lawrie GM Morris JC Debakey ME . Long term results of treatment of the totally occluded renal artery in forty patients with renovascular hypertension. Surgery1980; 88: 753–759.
21.
21 Cohen DL Townsend RR Kobrin S . Dramatic recovery of renal function after 6 months of dialysis dependence following surgical correction of total renal artery occlusion in a solitary functioning kidney. Am J Kidney Dis2001; 37: E7.
22.
22 Simeoni S Girelli D Lino M . Recovery of renal function after 3 months of dialysis in a patient with atherosclerotic renovascular disease following aortoiliac bypass and left renal artery reimplantation. Eur J Vasc Endovasc Surg2004; 28: 562–564.
23.
23 Zinman L Libertino JA . Revascularization of the chronic totally occluded renal artery with restoration of renal function. J Urol1977; 118: 517–521.
24.
24 Dean RH Englund R Dupont WD . Retrieval of renal function by revascularization. Ann Surg1985; 202: 367–375.
25.
25 Schefft P Novick AC Stewart BH . Renal revascularization in patients with total occlusion of the renal artery. J Urol1980; 124: 184–186.
26.
26 Sniderman KW Sos TA . Percutaneous transluminal recanalization and dilatation of totally occluded renal arteries. Radiology1982; 142: 607–610.
27.
27 Boyer L Anne A Boissier A . Percutaneous recanalization of recent renal artery occlusion: report of 10 cases. Cardiovasc Intervent Radiol1994; 17: 258–263.