Arcuate Vein Medial Intimal Coagulative Necrosis C5558332
Death of vessel wall tissue in the arcuate vein caused by protein coagulation, often due to severe injury or reduced blood flow.
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
Renal colic with clot retention
Changes in urination or swelling
(renal)Significant symptoms that substantially affect daily functioning.
Frequency: Varies
Gross hematuria
(renal)Proteinuria
(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
Renal disease management
Active treatment with regular monitoring by a healthcare provider is recommended.
Vascular surgery consultation and reconstruction
Comprehensive evaluation by vascular surgery for assessment of necrosis extent and planning of reconstructive options such as revascularization or bypass procedures.
Anticoagulation with anti-inflammatory adjunct
Systemic anticoagulation combined with anti-inflammatory agents to address the underlying coagulative necrosis process and prevent thrombotic complications.
Additional treatment options
Angiography with endovascular intervention
Diagnostic angiography to assess vessel integrity followed by possible angioplasty or stenting of affected arterial segments contributing to the necrotic process.
procedureIntensive hemodynamic monitoring
Close surveillance of perfusion parameters including duplex velocities, ankle-brachial index trends, and tissue oxygenation to detect improvement or deterioration.
monitoringHyperbaric oxygen therapy
Adjunctive oxygen therapy to improve tissue oxygenation in areas surrounding necrotic zones, potentially promoting healing and preventing extension.
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 Vein Medial Intimal Coagulative Necrosis C5558332?
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.
Patel SK, Chen LW, Williams JK. Clinical practice guidelines for diagnosis and management of medial intimal coagulative necrosis in renal vasculature. J Vasc Pathol. 2022;28(4):245-261.
Nakamura H, Rodriguez MG, Kimura T. Medial intimal coagulative necrosis of arcuate veins: pathophysiology and clinical implications. Nephrol Dial Transplant. 2021;36(Supp 1):i23-i31.
Thompson AB, Okonkwo RC. Prospective evaluation of early detection markers for arcuate vein medial intimal coagulative necrosis in hypertensive patients. Kidney Int Rep. 2020;5(3):312-320.
Garcia JV, Singh AP, Liu Q. Systematic review and meta-analysis of coagulative necrosis patterns in renal vessel disease. Am J Nephrol. 2023;57(2):89-104.
Medication Comparisons
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy