Siablis Dimitrios, Liatsikos Evangelos N, Goumenos Dimitrios, Karnabatidis Dimitrios, Voudoukis Theodoros, Barbalias George, Vlahogiannis John
Department of Radiology, University of Patras, Rio-Patras, Greece.
J Endourol. 2005 Jan-Feb;19(1):68-71. doi: 10.1089/end.2005.19.68.
We present our experience with percutaneous rheolytic treatment with the AngioJet thrombectomy catheter for acute renal-artery thrombosis.
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.
We propose the use of the AngioJet thrombectomy catheter for the percutaneous treatment of acute renal-artery thrombosis.
我们介绍使用AngioJet血栓切除术导管经皮治疗急性肾动脉血栓形成的经验。
一名63岁男性患者，在急性非放射性胁腹痛发作48小时后出现肾动脉血栓形成。通过CT血管造影、99mTc-DTPA和数字减影血管造影证实了血栓形成。使用AngioJet导管进行了经皮血栓切除术。手术结束时，动脉腔通畅，未发现动脉壁存在潜在狭窄或其他畸形。因此，梗阻原因被认为是栓子。术后给予尿激酶以防止可能逃脱机械性血栓切除术的栓子导致远端闭塞。同时也给予了肝素。患者出院时肾单位通畅，血清肌酐浓度改善。
我们建议使用AngioJet血栓切除术导管经皮治疗急性肾动脉血栓形成。
