AI Article Synopsis
- - A 28-year-old woman with a history of double-lung transplant experienced flank pain and acute kidney injury, leading to the discovery of isolated left renal vein thrombosis that extended into the inferior vena cava.
- - Initial treatments with anticoagulation and hydration didn't work, so a pharmacomechanical thrombectomy was performed, and a temporary filter was placed in the inferior vena cava for safety during the procedure.
- - The patient's renal function improved and returned to normal, remaining stable for 13 months, highlighting the effectiveness of early thrombectomy when medical treatments fail.
Article Abstract
Spontaneous renal vein thrombosis is a rare entity. A 28-year-old woman with a history of a double-lung transplant was admitted with flank pain and found to have acute kidney injury. A magnetic resonance venogram demonstrated isolated left renal vein thrombosis with extension into the inferior vena cava. Initial management with therapeutic anticoagulation and hydration was unsuccessful. Thus, pharmacochemical thrombectomy was performed. A temporary suprarenal inferior vena cava filter was placed for intraoperative pulmonary prophylaxis. The patient's renal function returned to baseline and remained normal 13 months later. Early incorporation of percutaneous pharmacomechanical thrombectomy can improve renal function when medical therapy alone is unsuccessful.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10924198 | PMC |
| http://dx.doi.org/10.1016/j.jvscit.2024.101437 | DOI Listing |
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