Mechanical aspiration thrombectomy in the treatment of acute intrastent renal artery thrombosis

Rossi, Umberto; Rollandi, Gian Andrea; Dallatana, Raffaello; Cariati, Maurizio

doi:10.1016/j.carrev.2018.04.009

Cited by 6 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The initial treatment of acute renal artery thrombosis is anticoagulation but in our patient, anticoagulation with intravenous heparin did not lead to any clinical benefit and resulted in continued symptoms [7]. Systemic thrombolytic therapy has low success and high complication risk in renal arterial thrombosis, and surgical and endovascular options are preferred [7][8][9]. Surgical treatment includes thrombectomy and aortorenal bypass, but given the high morbidity and mortality of open surgical options, endovascular therapy is preferred [7].…”

Section: Discussionmentioning

confidence: 84%

See 1 more Smart Citation

Renal Artery Thrombectomy Causing Functional and Symptomatic Recovery after 50-Hour Delay in Reperfusion of Acute Main Renal Artery Thrombosis

Kang

Wilson

2022

Case Reports in Vascular Medicine

View full text Add to dashboard Cite

Acute renal artery thrombosis is rare and even rarer in the thrombus occluding the main renal artery and compromising the entire kidney. We report on a 46-year-old female smoker with no past medical history and no hypercoagulability who developed sudden severe left flank pain, hematuria, acute renal failure, and severe hypertension. A CT angiogram showed totally occluded renal artery at the ostium with a thrombus and severely hypoperfused left kidney with multiple infarcts. Initial course of treatment was with intravenous heparin but with no improvement after 50 hours since symptom onset; angiography was done. This revealed totally occluded renal artery at ostium with no vessels or kidney blush seen. After aspiration thrombectomy, blush was seen in kidney parenchyma along with flow in the arcuate renal arteries although with some distal embolic events. The ostial lesion was treated with a drug eluting stent with excellent result angiographically. However, 8 months later, severe restenosis occurred. This time, the patient did not flank pain or renal failure but had progressive hypertension. The patient was treated this time with rheolytic thrombectomy followed by intravascular ultrasound-guided drug-eluting stenting. The patient has been followed for a year and a half since and recent CT scan revealed widely patent renal arteries bilaterally with normal kidney function, BP, and good perfusion to the left kidney with only tiny areas of infarct. Ultrasound of the kidneys also showed the size of the left kidney as within normal range now, and she has good distal flow velocities in the branch renal arteries. Our case report shows that even delayed reperfusion of complete renal artery occlusion with jeopardized arterial flow to the entire kidney could result in restoration of function to most of the kidney.

show abstract

Section: Discussionmentioning

confidence: 84%

“…Since angiography would be mandated for this treatment, and our patient's angiographic as well as clinical characteristics suggested in situ thrombosis, we elected aspiration and rheolytic thrombectomy techniques. There are no data to suggest superiority of catheter directed thrombolysis over thrombectomy techniques [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Renal Artery Thrombectomy Causing Functional and Symptomatic Recovery after 50-Hour Delay in Reperfusion of Acute Main Renal Artery Thrombosis

Kang

Wilson

2022

Case Reports in Vascular Medicine

View full text Add to dashboard Cite

show abstract

“…Local infusion of thrombolytic therapy, given via a transjugular route, was shown effective to provide recanalization [ 12 ]. Adjunctive endovascular techniques have recently been developed to reduce thrombolytic drug exposure, and improve efficacy compared with standard thrombolysis [ 20 , 21 ], which include balloon angioplasty, thrombectomy devices, ultrasound–accelerated thrombolysis, aspiration thrombectomy and TIPS creation. Ultrasound–accelerated thrombolysis involves the simultaneous endovascular delivery of low-intensity ultrasounds and thrombolytic agent.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of acute spleno-porto-mesenteric vein thrombosis after ChAdOx1 nCoV-19 vaccine. A case report

Umbrello

Brena

Vercelli

et al. 2021

Journal of Critical Care

View full text Add to dashboard Cite

“…Catheter thrombus aspiration is also helpful to restore the renal artery blood fl ow rapidly, with successful application in the setting of acute myocardial infarction, visceral, and upper/ lower limbs arteries [16,17]. Although its advantages include quick revascularization and a lower risk of possible bleeding, there are some limitations, such as fragmenting and advancing the thrombus to distal branch arteries, only partial thrombus aspirated into the catheter, and vascular injuries [16].…”

Section: Discussionmentioning

confidence: 99%

Acute renal artery thrombosis treated with combination use of multiple interventional techniques

Zhang¹,

Xiong²,

Pan³

et al. 2019

J Cardiovasc Med Cardiol

View full text Add to dashboard Cite

Purpose: To describe the combined use of multiple interventional techniques for the treatment of acute renal artery thrombosis.Case Report: Acute renal artery thrombosis is a rare condition, which is diffi cult to diagnose accurately and quickly. Failure to restore renal perfusion as quickly as possible may lead to renal dysfunction. Multiple interventional techniques are used as new options to restore renal blood fl ow and function. Herein we present one case of acute renal artery thrombosis treated with combination use of percutaneous rheolytic thrombectomy, catheter thrombus aspiration and intra-arterial thrombolysis in a very early stage. Conclusion:Early diagnosis and treatment are essential to preserving the renal function, and the combined use of multiple interventional techniques is safe and effective for the restoration of renal perfusion in treating patients with acute renal artery thrombosis. Abbreviations, et al. (2019) Acute renal artery thrombosis treated with combination use of multiple interventional techniques. J Cardiovasc Med Cardiol 6(4): 088-091. DOI: https://dx.

show abstract

Mechanical aspiration thrombectomy in the treatment of acute intrastent renal artery thrombosis

Cited by 6 publications

References 10 publications

Renal Artery Thrombectomy Causing Functional and Symptomatic Recovery after 50-Hour Delay in Reperfusion of Acute Main Renal Artery Thrombosis

Renal Artery Thrombectomy Causing Functional and Symptomatic Recovery after 50-Hour Delay in Reperfusion of Acute Main Renal Artery Thrombosis

Successful treatment of acute spleno-porto-mesenteric vein thrombosis after ChAdOx1 nCoV-19 vaccine. A case report

Acute renal artery thrombosis treated with combination use of multiple interventional techniques

Contact Info

Product

Resources

About