Treatment of obstructive nephroureteral clot with a rheolytic mechanical thrombectomy device.
Thrombus within the renal collecting system and ureter after percutaneous intervention is usually self-limited, but when it is obstructive enough to produce anuria, it can cause deterioration of renal function. Herein a case of a patient with a transplant kidney in whom clot anuria developed after conversion of a nephroureteral stent to a nephrostomy catheter is presented. Internal urine drainage was restored with the use of a rheolytic mechanical thrombectomy device, with subsequent return of normal renal function.
Htaik
Tun Tin
TT
Section of Vascular and Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA.
Santaniello
Nicole A
NA
Markmann
James F
JF
Shaked
Abraham
A
Clark
Timothy W I
TW
D006801:Humans; D007674:Kidney Diseases / Q000601:surgery*; D007682:Kidney Pelvis; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011183:Postoperative Complications; D017131:Thrombectomy / Q000295:instrumentation* / Q000379:methods*; D014515:Ureteral Diseases / Q000601:surgery*; D014517:Ureteral Obstruction / Q000209:etiology*