Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus
A 47-year-old male with a remote renal transplant due to pediatric glomerulonephritis on oral anticoagulation for symptomatic deep venous thrombosis and pulmonary emboli presented with sudden hip and groin pain. The patient was found to have a spinal epidural hematoma, underwent reversal of anticoag...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2019-05-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/salvage-of-renal-transplant-with-vacuum-assisted-t/54937
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| _version_ | 1797691300079730688 |
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| author | Steven D. Kao Martin P. Edwards Stephen T. Kee John M. Moriarty |
| author_facet | Steven D. Kao Martin P. Edwards Stephen T. Kee John M. Moriarty |
| author_sort | Steven D. Kao |
| collection | DOAJ |
| description | A 47-year-old male with a remote renal transplant due to pediatric glomerulonephritis on oral anticoagulation for symptomatic deep venous thrombosis and pulmonary emboli presented with sudden hip and groin pain. The patient was found to have a spinal epidural hematoma, underwent reversal of anticoagulation, and subsequently developed worsening renal function. Imaging revealed occlusive iliocaval venous thrombosis with extension to the renal allograft. Given risk of epidural hematoma expansion, the patient was deemed high risk for thrombolysis. The AngioVac system was used for single session thrombus removal. The patient’s renal function improved and no focal neurologic sequelae was noted postprocedure. Six-month follow-up showed persistent vessel patency. |
| first_indexed | 2024-03-12T02:11:26Z |
| format | Article |
| id | doaj.art-ae5af5c486644ee28ddeba3452f8a347 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:11:26Z |
| publishDate | 2019-05-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-ae5af5c486644ee28ddeba3452f8a3472023-09-06T13:03:28ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122019-05-0125323824110.5152/dir.2019.1823213049054Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombusSteven D. Kao0Martin P. Edwards1Stephen T. Kee2John M. Moriarty3 Department of Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA Department of Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA Department of Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA Department of Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA A 47-year-old male with a remote renal transplant due to pediatric glomerulonephritis on oral anticoagulation for symptomatic deep venous thrombosis and pulmonary emboli presented with sudden hip and groin pain. The patient was found to have a spinal epidural hematoma, underwent reversal of anticoagulation, and subsequently developed worsening renal function. Imaging revealed occlusive iliocaval venous thrombosis with extension to the renal allograft. Given risk of epidural hematoma expansion, the patient was deemed high risk for thrombolysis. The AngioVac system was used for single session thrombus removal. The patient’s renal function improved and no focal neurologic sequelae was noted postprocedure. Six-month follow-up showed persistent vessel patency. http://www.dirjournal.org/archives/archive-detail/article-preview/salvage-of-renal-transplant-with-vacuum-assisted-t/54937 |
| spellingShingle | Steven D. Kao Martin P. Edwards Stephen T. Kee John M. Moriarty Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus Diagnostic and Interventional Radiology |
| title | Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus |
| title_full | Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus |
| title_fullStr | Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus |
| title_full_unstemmed | Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus |
| title_short | Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus |
| title_sort | salvage of renal transplant with vacuum assisted thrombectomy of large iliocaval and allograft venous outflow thrombus |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/salvage-of-renal-transplant-with-vacuum-assisted-t/54937
|
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