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Thrombolytic Therapy in Renal Vein Thrombosis-Reply

Thrombolytic Therapy in Renal Vein Thrombosis-Reply Abstract In Reply. —Dr Gordon appropriately emphasizes the importance of selective renal vein venography. We should have mentioned that, at the time the patient was seen, repeated attempts were made to enter the right renal vein, but the large clot extending around the superior to the vein prevented successful catheterization. The left renal vein was successfully entered, but retrograde flow could not be seen beyond the orifice.Dr Gordon is also correct in pointing out that the left renal vein, described as occluded following streptokinase infusion, was at least partially, if not totally, patent. Any confusion that has arisen because of this error is regrettable.We also would like to mention that, at the time our article was written, we were unaware of any previous reports on the use of thrombolytic therapy for renal vein thrombosis. We now know of its unsuccessful use in two previous reports.1,2 The significance of References 1. Zech P, Blanc-Brunat N, Pinet A, et al: Les thromboses veineuses renales de l'adulte. Schweiz Med Wochenschr 1975;105:398-406. 2. Reuben A, Hirsch M, Berlyn GM: Renal vein thrombosis as the major cause of death in familial Mediterranean fever. Q J Med 1977;182: 243-258. 3. Burrow CR, Walker WG, Bell WR, et al: Streptokinase salvage of renal function after renal vein thrombosis. Ann Intern Med 1984;100: 237-238.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Thrombolytic Therapy in Renal Vein Thrombosis-Reply

Crowley, James P.
Archives of Internal Medicine , Volume 144 (9) – Sep 1, 1984
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1984.00350210217045
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply. —Dr Gordon appropriately emphasizes the importance of selective renal vein venography. We should have mentioned that, at the time the patient was seen, repeated attempts were made to enter the right renal vein, but the large clot extending around the superior to the vein prevented successful catheterization. The left renal vein was successfully entered, but retrograde flow could not be seen beyond the orifice.Dr Gordon is also correct in pointing out that the left renal vein, described as occluded following streptokinase infusion, was at least partially, if not totally, patent. Any confusion that has arisen because of this error is regrettable.We also would like to mention that, at the time our article was written, we were unaware of any previous reports on the use of thrombolytic therapy for renal vein thrombosis. We now know of its unsuccessful use in two previous reports.1,2 The significance of References 1. Zech P, Blanc-Brunat N, Pinet A, et al: Les thromboses veineuses renales de l'adulte. Schweiz Med Wochenschr 1975;105:398-406. 2. Reuben A, Hirsch M, Berlyn GM: Renal vein thrombosis as the major cause of death in familial Mediterranean fever. Q J Med 1977;182: 243-258. 3. Burrow CR, Walker WG, Bell WR, et al: Streptokinase salvage of renal function after renal vein thrombosis. Ann Intern Med 1984;100: 237-238.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Sep 1, 1984

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