title: Percutaneous selective embolectomy using a Fogarty Thru-Lumen Catheter for pancreas graft thrombosis: a case report.
abstract: A 57-year-old woman with a history of diabetes mellitus underwent simultaneous pancreas-kidney transplantation. The pancreaticoduodenal graft was implanted in the right iliac fossa. The donor's portal vein was anastomosed to the recipient's inferior vena cava (IVC). Seven days after the surgery, a thrombus was detected in the graft veins. Percutaneous thrombolysis was immediately performed; however, venous congestion was still present. We therefore attempted selective embolectomy using a Fogarty Thru-Lumen Catheter. Thrombi were directed from the graft veins toward the IVC and captured in the IVC filter with complete elimination of the thrombus without any major complications. We present our technique for the successful treatment of pancreas graft thrombosis within a short time period by percutaneous selective embolectomy using a Fogarty Thru-Lumen Catheter.
authors.affiliation: Department of Radiology and Center for Endovascular Therapy, Kobe University Hospital, and Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan. izaki@med.kobe-u.ac.jp
authors.forename: Kenta
authors.initials: K
authors.lastname: Izaki
authors.forename: Masato
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Ippei
authors.initials: I
authors.lastname: Matsumoto
authors.forename: Makoto
authors.initials: M
authors.lastname: Shinzeki
authors.forename: Yonson
authors.initials: Y
authors.lastname: Ku
authors.forename: Kazuro
authors.initials: K
authors.lastname: Sugimura
authors.forename: Koji
authors.initials: K
authors.lastname: Sugimoto
mesh_terms: D000714:Anastomosis, Surgical; D000792:Angiography; D057785:Catheters; D017128:Embolectomy / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D016035:Pancreas Transplantation; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000601:surgery; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000601:surgery*; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery