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Published on: January 18, 2018
Catheter-directed thrombolysis with tPA to restore renal function after iliac venous thrombosis post-renal
Courtney Fulton1, Tom McGregor, Tom L Forbes
1Department of Surgery, Schulich School of Medicine, Multiorgan Transplant Program, London Health Sciences Centre, London, ON, Canada.
Background:
Successful salvage of a failing renal allograft secondary to compromised venous outflow from acute deep venous thrombus (DVT) has not been reported in the post-operative setting.
Case Report:
We present a case of acute DVT extending from the popliteal vein to the bifurcation of the inferior vena cava leading to renal allograft dysfunction in the post-operative period. The allograft was successfully salvaged with catheter directed thrombolysis of the DVT with tPA through the ipsilateral popliteal vein over a 48 hr period.
Conclusions:
Post-operative renal transplant dysfunction secondary to iliac vein thrombosis can be successfully treated with catheter-directed thrombolysis using tPA.
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