Objective & Hypothesis:A 47-year-old male with a remote renal transplant due to pediatric glomerulonephritis on oralanticoagulation for symptomatic deep venous thrombosis and pulmonary emboli presentedwith sudden hip and groin pain.
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Key Findings & Data:The patient was found to have a spinal epidural hematoma,underwent reversal of anticoagulation, and subsequently developed worsening renal function.Imaging revealed occlusive iliocaval venous thrombosis with extension to the renal allograft.Given risk of epidural hematoma expansion, the patient was deemed high risk for thrombolysis.The AngioVac system was used for single session thrombus removal.
A 47-year-old male with a remote renal transplant due to pediatric glomerulonephritis on oralanticoagulation for symptomatic deep venous thrombosis and pulmonary emboli presentedwith sudden hip and groin pain. The patient was found to have a spinal epidural hematoma,underwent reversal of anticoagulation, and subsequently developed worsening renal function.Imaging revealed occlusive iliocaval venous thrombosis with extension to the renal allograft.Given risk of epidural hematoma expansion, the patient was deemed high risk for thrombolysis.The AngioVac system was used for single session thrombus removal. The patient’s renal function improved and no focal neurologic sequelae was noted postprocedure. Six-month follow-upshowed persistent vessel patency.
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Cite This Article
KAO, S. D., EDWARDS, M. P., KEE, S. T., MORIARTY, J. M. (2019). Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus. Diagnostic and Interventional Radiology, Cilt: 25 - Sayı: 3, 238–241. https://ajindex.com/articles/350014
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