Srinivas Budunur C, Singh Bhupinder, Srinivasa Sanjay, Reddy Shashikumar S, Mahadevappa Nagesh C, Reddy Babu
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India,
Cardiovasc Interv Ther. 2014 Jul;29(3):275-8. doi: 10.1007/s12928-013-0227-3. Epub 2013 Nov 19.
Acute renal vein thrombosis (RVT) causes rapid deterioration of renal function if it is not treated aggressively. Conventional anticoagulation therapy is the standard mode of treatment; however, the need for rapid and complete resolution has led to the development of newer modes of treatment such as percutaneous catheter-directed techniques. We describe a case of acute RVT with deteriorating renal functions that highlights the rational of percutaneous catheter-directed combined pharmacomechanical thrombolysis-thrombectomy approach to successfully restore the renal vein patency with improvement of the renal function.
急性肾静脉血栓形成（RVT）若不积极治疗，会导致肾功能迅速恶化。传统抗凝治疗是标准治疗方式；然而，对快速、完全缓解的需求促使了诸如经皮导管定向技术等新治疗方式的发展。我们描述了一例肾功能恶化的急性RVT病例，该病例突出了经皮导管定向联合药物机械性溶栓-血栓切除术方法成功恢复肾静脉通畅并改善肾功能的原理。
