Endovascular treatment of renal vein thrombosis in a young patient with lung transplant
Spontaneous renal vein thrombosis is a rare entity. A 28-year-old woman with a history of a double-lung transplant was admitted with flank pain and found to have acute kidney injury. A magnetic resonance venogram demonstrated isolated left renal vein thrombosis with extension into the inferior vena...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724000212 |
| _version_ | 1827311163021459456 |
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| author | Paula Pinto Rodriguez, MD Anand Brahmandam, MD Jeffrey Turner, MD Alfred Lee, MD Cassius Iyad Ochoa Chaar, MD |
| author_facet | Paula Pinto Rodriguez, MD Anand Brahmandam, MD Jeffrey Turner, MD Alfred Lee, MD Cassius Iyad Ochoa Chaar, MD |
| author_sort | Paula Pinto Rodriguez, MD |
| collection | DOAJ |
| description | Spontaneous renal vein thrombosis is a rare entity. A 28-year-old woman with a history of a double-lung transplant was admitted with flank pain and found to have acute kidney injury. A magnetic resonance venogram demonstrated isolated left renal vein thrombosis with extension into the inferior vena cava. Initial management with therapeutic anticoagulation and hydration was unsuccessful. Thus, pharmacochemical thrombectomy was performed. A temporary suprarenal inferior vena cava filter was placed for intraoperative pulmonary prophylaxis. The patient's renal function returned to baseline and remained normal 13 months later. Early incorporation of percutaneous pharmacomechanical thrombectomy can improve renal function when medical therapy alone is unsuccessful. |
| first_indexed | 2024-03-07T14:28:24Z |
| format | Article |
| id | doaj.art-e8823db73be84a14bd162e659aefae3e |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-24T20:12:34Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-e8823db73be84a14bd162e659aefae3e2024-03-23T06:25:38ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-04-01102101437Endovascular treatment of renal vein thrombosis in a young patient with lung transplantPaula Pinto Rodriguez, MD0Anand Brahmandam, MD1Jeffrey Turner, MD2Alfred Lee, MD3Cassius Iyad Ochoa Chaar, MD4Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CT; Correspondence: Paula Pinto Rodriguez, MD, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, 333 Cedar St, New Haven, CT 06510Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CTDepartment of Medicine, Section of Nephrology, Yale University School of Medicine, New Haven, CTDepartment of Medicine, Section of Hematology, Yale University School of Medicine, New Haven, CTDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CTSpontaneous renal vein thrombosis is a rare entity. A 28-year-old woman with a history of a double-lung transplant was admitted with flank pain and found to have acute kidney injury. A magnetic resonance venogram demonstrated isolated left renal vein thrombosis with extension into the inferior vena cava. Initial management with therapeutic anticoagulation and hydration was unsuccessful. Thus, pharmacochemical thrombectomy was performed. A temporary suprarenal inferior vena cava filter was placed for intraoperative pulmonary prophylaxis. The patient's renal function returned to baseline and remained normal 13 months later. Early incorporation of percutaneous pharmacomechanical thrombectomy can improve renal function when medical therapy alone is unsuccessful.http://www.sciencedirect.com/science/article/pii/S2468428724000212Acute kidney injuryEndovascular therapyPharmacomechanical thrombectomyRenal vein thrombosis |
| spellingShingle | Paula Pinto Rodriguez, MD Anand Brahmandam, MD Jeffrey Turner, MD Alfred Lee, MD Cassius Iyad Ochoa Chaar, MD Endovascular treatment of renal vein thrombosis in a young patient with lung transplant Journal of Vascular Surgery Cases and Innovative Techniques Acute kidney injury Endovascular therapy Pharmacomechanical thrombectomy Renal vein thrombosis |
| title | Endovascular treatment of renal vein thrombosis in a young patient with lung transplant |
| title_full | Endovascular treatment of renal vein thrombosis in a young patient with lung transplant |
| title_fullStr | Endovascular treatment of renal vein thrombosis in a young patient with lung transplant |
| title_full_unstemmed | Endovascular treatment of renal vein thrombosis in a young patient with lung transplant |
| title_short | Endovascular treatment of renal vein thrombosis in a young patient with lung transplant |
| title_sort | endovascular treatment of renal vein thrombosis in a young patient with lung transplant |
| topic | Acute kidney injury Endovascular therapy Pharmacomechanical thrombectomy Renal vein thrombosis |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724000212 |
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