Air travel and thromboembolic complications after percutaneous nephrolithotomy for staghorn stone.
Thromboembolic complications after percutaneous surgery for staghorn stone are rare. We report a case of silent deep vein thrombosis (DVT) after long-distance air travel that was complicated by both recurrent pulmonary emboli and paradoxical arterial embolus despite full-dose systemic heparin anticoagulation. Management options for thromboembolic complications in the context of percutaneous renal surgery are discussed, and risk factors predisposing to silent deep vein thrombosis after long-distance air travel are outlined.
Patel
A
A
Department of Urology, UCLA School of Medicine, Los Angeles, California 90095-1738, USA.
Fuchs
G J
GJ
D000401:Aircraft; D000925:Anticoagulants / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D004617:Embolism / Q000209:etiology*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000209:etiology*; D012008:Recurrence; D013924:Thrombophlebitis / Q000209:etiology*; D014195:Travel; D017211:Treatment Failure
D000925:Anticoagulants; D006493:Heparin