Successful endoluminal thrombo-aspiration of renal graft venous thrombosis

A case report of venous thrombosis after kidney transplantation – We can save the graft? Time is the success factor

“…The etiology of venous thrombosis in this report cannot be attributed to factors associated with an increased risk of thrombosis such as pathology of the iliac vessels, graft atheroma or hypercoagulable states [8]. In similar cases of venous thrombosis the graft rescue is a rare event [2], [3], [4], [5], [6], [7]. In the present case report, the fundamental to the success is the time of diagnosis to intervention [2], [4], [5], [6], [10].…”

“…In similar cases of venous thrombosis the graft rescue is a rare event [2], [3], [4], [5], [6], [7]. In the present case report, the fundamental to the success is the time of diagnosis to intervention [2], [4], [5], [6], [10]. Compared to surgery the angiographic percutaneous techniques were described with the use of thrombolytics [5], [8], but other authors argue that the surgery should be the first choice.…”

“…In the present case report, the fundamental to the success is the time of diagnosis to intervention [2], [4], [5], [6], [10]. Compared to surgery the angiographic percutaneous techniques were described with the use of thrombolytics [5], [8], but other authors argue that the surgery should be the first choice. The rationale is that surgery promotes rapid removal of the thrombus and prevents bleeding complications of thrombolytic therapy [6].…”

“…There are most related to surgical complications, and allograft loss is the usual outcome [2]. The surgical exploration and transplantectomy were the most common treatment, but, there are fewer reports of graft salvage by thrombectomy or re-transplantation [2], [3], [4], [5], [6], [7]. Then, to salvage the graft is necessary a high suspicion combined with a low time of diagnostic to intervention [2], [8].…”

Management and Outcome After Early Renal Transplant Vein Thrombosis: A French Multicentre Observational Study of Real-Life Practice Over 24 Years

“…Indeed, the data on such management in the literature are based on case series or small cohorts. It is reported to require surgical revision, with thrombectomy by renal venotomy (12), anastomotic repair, or explantation, flushing with preservative solution and reimplantation (13), and more rarely endovascular treatment (14) or thrombolysis alone (15). Regardless of the reported management, the rate of functional grafts at discharge is extremely low (5)(6)(7)16).…”