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Percutaneous manual aspiration embolectomy of renal vein thrombosis due to acute pyelonephritis

Luigi Novelli1, Alain Raynaud, Olivier Pellerin

  • 1Radiologie Cardiovasculaire, HEGP, Paris, France. luigi.novelli@egp.aphp.fr

Cardiovascular and Interventional Radiology
|May 30, 2007
PubMed

Insights

Septic thrombosis of the renal vein was treated effectively using percutaneous manual aspiration embolectomy (PMAE). This minimally invasive procedure restored renal vein flow when other treatments failed.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Septic thrombosis of the renal vein is a serious condition often requiring aggressive treatment.
  • Standard antibiotic therapy may be insufficient for resolving established venous thrombosis.

Observation:

  • A 50-year-old male patient presented with persistent septic renal vein thrombosis despite antibiotic treatment.
  • The patient had contraindications for both fibrinolytic therapy and surgical intervention.

Findings:

  • Percutaneous manual aspiration embolectomy (PMAE) was successfully employed to remove the thrombus.
  • Optimal restoration of renal vein blood flow was achieved through PMAE.

Implications:

  • PMAE offers a viable alternative for managing renal vein thrombosis in patients unsuitable for other treatments.
  • This case highlights the efficacy of interventional radiology techniques in complex vascular emergencies.

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