Percutaneous rheolytic thrombectomy for treatment of acute renal-artery thrombosis.
OBJECTIVE
We present our experience with percutaneous rheolytic treatment with the AngioJet thrombectomy catheter for acute renal-artery thrombosis.


METHODS
A 63-year-old male patient with renal-artery thrombosis presented 48 hours after the onset of acute nonradiating flank pain. Thrombosis was documented by CT angiography, 99mTc-DTPA, and digital subtraction angiography. A percutaneous thrombectomy was performed with the AngioJet catheter. At the end of the procedure, the arterial lumen was patent, and no underlying stenosis or other deformity of the arterial wall was found. Thus, the cause of the obstruction was considered to be an embolus. After the procedure, urokinase was given to prevent distal occlusions from emboli that could have escaped mechanical thrombectomy. Heparin was also administered. The patient was released from the hospital with a patent renal unit and ameliorated serum creatinine concentration.


CONCLUSIONS
We propose the use of the AngioJet thrombectomy catheter for the percutaneous treatment of acute renal-artery thrombosis.
Siablis
Dimitrios
D
Department of Radiology, University of Patras, Rio-Patras, Greece. Liatsikos@yahoo.com
Liatsikos
Evangelos N
EN
Goumenos
Dimitrios
D
Karnabatidis
Dimitrios
D
Voudoukis
Theodoros
T
Barbalias
George
G
Vlahogiannis
John
J
D000368:Aged; D015901:Angiography, Digital Subtraction; D002406:Catheterization, Peripheral / Q000295:instrumentation; D018572:Disease-Free Survival; D005500:Follow-Up Studies; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011875:Radionuclide Angiography; D019275:Radiopharmaceuticals / Q000008:administration & dosage; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016284:Technetium Tc 99m Pentetate / Q000008:administration & dosage; D017131:Thrombectomy / Q000379:methods*; D013923:Thromboembolism / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
D019275:Radiopharmaceuticals; D016284:Technetium Tc 99m Pentetate