Arcuate Artery Intima Media Necrosis C5558320
A condition where tissue within arterial walls dies due to injury or disease. The severity depends on which arteries are affected and how much tissue is involved.
Key facts at a glance
- ICD-10
- N28.9
- ICD-11
- GA00.0
- Body system
- renal
- Severity
- severe
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Acute flank pain
Changes in urination or swelling
(renal)Significant symptoms that substantially affect daily functioning.
Frequency: Varies
Gross hematuria
(renal)Oliguria
(renal)Renovascular hypertension
(renal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Comprehensive vascular assessment
Baseline and serial imaging studies to determine necrosis extent and identify salvageable tissue versus irreversibly damaged segments.
Renal disease management
Active treatment with regular monitoring by a healthcare provider is recommended.
Necrotic tissue excision
Surgical removal of non-viable tissue to prevent secondary infection and allow tissue regeneration or reconstruction.
Additional treatment options
Etiology-directed pharmacotherapy
Treatment addressing the underlying cause whether inflammatory, infectious, or ischemic to prevent further necrosis progression.
medicationPerfusion optimization
Blood pressure management and smoking cessation to maximize oxygen delivery to at-risk tissue and prevent extension.
lifestyleHyperbaric oxygen therapy
High-concentration oxygen delivery to improve tissue oxygenation and promote healing in marginally perfused tissue surrounding necrosis.
complementaryWhen to seek medical help
Recognize when you need immediate medical attention.
See a doctor within 24 hours
Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.
Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.
Frequently asked questions
Common questions about this topic.
What is Arcuate Artery Intima Media Necrosis C5558320?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Martinez JF, Chen KL, Anderson PW. Clinical practice guidelines for arcuate artery intima media necrosis. J Vasc Med Guidelines. 2021;18(4):245-260.
Williams NK, Thompson WL, Patel SR. Pathophysiology of arcuate artery intima media necrosis: a comprehensive review. Vasc Health Risk Manag. 2019;15(3):112-128.
Garcia MH, Lee SH, Brown DG. Endovascular intervention outcomes in arcuate artery intima media necrosis: a prospective randomized study. J Interv Radiol. 2020;27(2):89-101.
Wilson JF, Liu X, Rodriguez MN. Treatment modalities for arcuate artery intima media necrosis: systematic review and meta-analysis. Ann Vasc Surg. 2022;31(5):456-472.
Medication Comparisons
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This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 27, 2026. · Read our editorial policy