{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:15:05Z","timestamp":1759421705029,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,22]]},"abstract":"<jats:p>A 45-year-old man without previous comorbidity presented to us with acute onset right-sided flank pain for last 14\u2009hours. His general physical and systemic examination was unremarkable, and there were no clinical signs of peritonitis. The ultrasonography did not reveal any evidence of nephrolithiasis or hydronephrosis. His contrast-enhanced CT scan revealed hypoattenuated areas of right kidney and evidence of right renal artery thrombosis. He was immediately shifted to cardiac catheterisation lab, and his renal angiography showed thrombotic occlusion of right renal artery. The bolus dose of streptokinase (250\u2009000 IU) was given locally in renal artery by right judkins catheter followed by systemic infusion of streptokinase (100\u2009000 IU\/hour) for 24\u2009hours. After that he was started on low molecular weight heparin. Repeat renal angiography done after 5 days showed completely normal right renal artery. His cardiac and thrombophilia work up was negative, and he was discharged on antiplatelets, oral anticoagulants and statins.<\/jats:p>","DOI":"10.1136\/bcr-2018-224767","type":"journal-article","created":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T10:05:14Z","timestamp":1529575514000},"page":"bcr-2018-224767","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Acute renal artery embolisation: role of local catheter-based intra-arterial thrombolysis"],"prefix":"10.1136","volume":"2018","author":[{"given":"Neeraj","family":"Ganju","sequence":"first","affiliation":[{"name":"Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachin","family":"Sondhi","sequence":"additional","affiliation":[{"name":"Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Kandoria","sequence":"additional","affiliation":[{"name":"Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,21]]},"reference":[{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.1","first-page":"e784","article-title":"The clinical spectrum of acute renal infarction","volume":"4","author":"Korzets","year":"2002","journal-title":"Isr Med Assoc J"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000141097.08000.99"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.3","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1940.00190090124007"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2006.06.010"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.5","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-199911000-00004"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2011.06.041"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.013243"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.06.049"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.9","first-page":"781","article-title":"The clinical spectrum of acute renal infarction","volume":"4","author":"Korzets","year":"2002","journal-title":"Isr Med Assoc J"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.10","doi-asserted-by":"publisher","DOI":"10.1007\/BF02552671"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.11","first-page":"72","article-title":"Intraarterial low-dose streptokinase infusion in the treatment of acute renal thromboembolism","volume":"7","author":"Wilms","year":"1987","journal-title":"Eur J Radiol"},{"key":"2025082803424371000_2018.jun21_1.bcr-2018-224767.12","first-page":"168","article-title":"[Intra-arterial urokinase in the treatment of acute thrombosis of the renal artery. 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