title: Treatment of obstructive nephroureteral clot with a rheolytic mechanical thrombectomy device.
abstract: 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.
authors.affiliation: Section of Vascular and Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA.
authors.forename: Tun Tin
authors.initials: TT
authors.lastname: Htaik
authors.forename: Nicole A
authors.initials: NA
authors.lastname: Santaniello
authors.forename: James F
authors.initials: JF
authors.lastname: Markmann
authors.forename: Abraham
authors.initials: A
authors.lastname: Shaked
authors.forename: Timothy W I
authors.initials: TW
authors.lastname: Clark
mesh_terms: 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*