Acute Pancreatitis: A Rare Complication After Percutaneous Mechanical Thrombectomy of Portal Vein Thrombosis

Xu, Qiyang; Wang, Yi; Wang, Di; Xu, Bin; Yang, Leibo; Hu, Songjie; Yan, Jinlin; Lang, Dehai

doi:10.1016/j.avsg.2020.09.069

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Typically, symptoms of percutaneous mechanical thrombectomy-induced pancreatitis commence within 24 h of the procedure but may present as last as four days post-procedure. 23 , 24 Given the temporal relationship between the percutaneous mechanical thrombectomy and the development of acute pancreatitis, coupled with a negative, albeit limited workup for other causes of pancreatitis, our patient was given a diagnosis of percutaneous mechanical thrombectomy induced pancreatitis secondary to hemolysis. Prevention strategies including procedural time limitations, perioperative rehydration, and urine alkalization may prevent massive hemolysis and subsequent complications.…”

Section: Discussionmentioning

confidence: 99%

Acute Pancreatitis following Percutaneous Mechanical Thrombectomy of Left Common Iliac Vein

Pokharel¹,

Tu²,

Naqvi³

et al. 2023

Journal of Community Hospital Internal Medicine Perspectives

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While parental or oral anticoagulation remains a mainstay of therapy for thrombosis, in sporadic clinical situations, percutaneous mechanical thrombectomy is favored. Percutaneous mechanical thrombectomy is a well-tolerated subtype of catheter-directed intervention resulting in thrombus breakdown and removal. This procedure combines endovascular mechanical thrombectomy in combination with pharmacologic thrombolysis allowing for a significant reduction in procedure time. Similar to other catheter-based procedures, common complications include hemorrhage, dissection, pseudoaneurysm, and perforations. Acute pancreatitis, in contrast, is a rare complication of percutaneous mechanical thrombectomy with only limited cases reported and is hypothesized to occur secondary to release of heme byproducts. Here, we present a case of acute pancreatitis following outpatient percutaneous mechanical thrombectomy of the left common iliac vein that ultimately required hospitalization, intensive care unit (ICU) admission, and standard medical management for pancreatitis.

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Section: Discussionmentioning

confidence: 99%