Diagnostic and Interventional Radiology
Interventional Radiology - Technical Note

Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus

1.

Department of Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA

Diagn Interv Radiol 2019; 25: 238-241
DOI: 10.5152/dir.2019.18232
Read: 583 Downloads: 175 Published: 03 September 2019

Abstract

A 47-year-old male with a remote renal transplant due to pediatric glomerulonephritis on oral anticoagulation for symptomatic deep venous thrombosis and pulmonary emboli presented with 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-up showed persistent vessel patency.

 

You may cite this article as: Kao SD, Edwards MP, Kee ST, Moriarty JM. Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus. Diagn Interv Radiol 2019; 25:238-241.

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