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Your search keyword '"Zhu, Zhengcai"' showing total 10 results
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10 results on '"Zhu, Zhengcai"'

2. A rare cause of abdominal pain managed unconventionally: acute renal infarction caused by atrial fibrillation: a case report

Author

Ge, Tao, Zhu, ZhengCai, Wang, Jinfeng, Zhou, Wenjiao, Song, Evelyn J, and Tang, Shengxing

Subjects
Heart Disease, Biomedical Imaging, Hematology, Cardiovascular, Heart Disease - Coronary Heart Disease, Prevention, Patient Safety, Kidney Disease, Clinical Research, Renal and urogenital, Male, Humans, Aged, Atrial Fibrillation, Warfarin, Clopidogrel, Platelet Aggregation Inhibitors, Diltiazem, Nitroglycerin, Thromboembolism, Infarction, Aspirin, Thrombosis, Anticoagulants, Abdominal Pain, Acute renal infarction, Interventional therapy, Atrial fibrillation, Abdominal pain, Other Medical and Health Sciences, General & Internal Medicine
Abstract

BackgroundAtrial fibrillation is one of the most common arrhythmias. The main thrombotic complication of arterial fibrillation is ischemic stroke, but it can also cause acute renal infarction from embolization. The low incidence and nonspecific clinical manifestations of acute renal infarction make it difficult to diagnose, often leading to either delayed diagnosis or misdiagnosis. Due to its rarity, more efficient treatment guidelines are helpful for the management of acute renal infarction related to the thromboembolic complication of arterial fibrillation.Case reportsWe report a case of acute renal infarction due to underlying arterial fibrillation, where a novel interventional therapeutic method was used. A 66-year-old Chinese man with arterial fibrillation, not on anticoagulation due to the patient's preference, and coronary artery disease post-percutaneous coronary intervention to left anterior descending artery about 1 year ago, was currently on dual antiplatelet therapy. He suddenly developed intermittent and sharp left-sided abdominal pain and was found to have an acute left renal infarction on computed tomography scan. Angiogram showed acute occlusion of the left renal artery due to thromboembolism. For this patient, a combination method of local thrombus aspiration, angioplasty, and infusion of nitroglycerin and diltiazem were used, restoring blood flow to the left kidney. After recovery, the patient was discharged on aspirin, clopidogrel, and warfarin. At 6 months follow-up, there was no residual kidney dysfunction.ConclusionsAcute renal infarction from thromboembolism is a rare but serious complication of arterial fibrillation. More efficient and different options for intervention methods will benefit the treatment of this disease. Here, we report a combination therapeutic method that has not been used in acute renal infarction associated with arterial fibrillation, and which restored renal perfusion and prevented long-term kidney injury.

Published
2022

4. Integrated proteogenomic characterization of medullary thyroid carcinoma

Author

Shi, Xiao, Sun, Yaoting, Shen, Cenkai, Zhang, Yan, Shi, Rongliang, Zhang, Fan, Liao, Tian, Lv, Guojun, Zhu, Zhengcai, Jiao, Lianghe, Li, Peng, Xu, Tiansheng, Qu, Ning, Huang, Naisi, Hu, Jiaqian, Zhang, Tingting, Gu, Yanzi, Qin, Guangqi, Guan, Haixia, Pu, Weilin, Li, Yuan, Geng, Xiang, Zhang, Yan, Chen, Tongzhen, Huang, Shenglin, Zhang, Zhikang, Ge, Shuting, Wang, Wu, Xu, Weibo, Yu, Pengcheng, Lu, Zhongwu, Wang, Yulong, Guo, Liang, Wang, Yu, Guo, Tiannan, Ji, Qinghai, and Wei, Wenjun

Published
2022
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10. Abstract 11685: New Intervention Therapy Of Acute Renal Infarction Caused By Atrial Fibrillation: A Case Report

Author

Ge, Tao, Wang, Jinfeng, Zhu, ZhengCai, Zhou, Wenjiao, Tan, Bi-Hua, and Tang, Shengxing

Abstract

Introduction:Atrial fibrillation is one of the most common arrhythmias, and its thrombotic complications are mainly stroke, but rarely cause acute renal infarction. The low incidence and the non-specific clinical manifestations of acute renal infarction make it difficult to diagnose or even misdiagnosed. The traditional treatment strategy includes antiplatelet, anticoagulant, thrombolysis even open surgery. Thrombectomy and stent implantation have also been reported. Here, we reported that acute renal infarction similar to that of acute myocardial infarction which would be benefited from a combinational treatment of local thrombus aspiration, angioplasty, and infusion of drugs.Clinical Vignette:A 66-year-old man with coronary artery disease and atrial fibrillation. Laboratory analysis showed that elevated lactate dehydrogenase and alpha-hydroxybutyrate dehydrogenase (HBDH) after abdominal pain. Contrast-enhanced CT scan showed renal infarction (Figure 1). The renal angiography showed left renal artery upper and lower branches distal occlusion (Figure 2A). We immediately started the left renal artery interventional treatment. After thrombus was aspirated by a suction catheter and 10 mg nitroglycerin and 1 mg diltiazem were injected through the microcatheter, the angiography showed that the superior and lower branch vessels were developed and restored blood flow (Figure 2B). The symptom of abdominal pain was quickly relieved after the operation. There was no renal dysfunction in the patient during the follow-up period. In conclusion, we present this case with a combination of local thrombus aspiration, angioplasty, and infusion of drugs have achieved successful results for the treatment of the acute renal infarction.

Published
2019
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