Successful endovascular treatment of bilateral renal artery paradoxical embolus by a modified standard technique.

Paradoxical embolism is a rare cause of severe renal artery occlusion and is frequently under-diagnosed [1]. Rapid endovascular intervention with minimal morbidity may make clot removal possible and reverse organ function [2,3]. We present here the case of a patient with an acute renal failure due to a bilateral renal artery paradoxical embolism that was successfully treated by a modified standard technique of an endovascular procedure, with a rapid mechanical and local pharmacological thrombolysis. The patient partially recovered her renal function and was able to stop dialysis.