Catheter Directed Thrombectomy Under Temporary Catheter Based Filter Protection in Renal Vein Thrombosis and Contraindication to Anticoagulation

Axel Haine; Alexander Rosenov; Nando Mertineit; Iris Baumgartner; Marc Schindewolf

doi:10.1016/j.ejvsvf.2020.09.001

Catheter Directed Thrombectomy Under Temporary Catheter Based Filter Protection in Renal Vein Thrombosis and Contraindication to Anticoagulation

EJVES Vasc Forum. 2020 Sep 19:49:16-19. doi: 10.1016/j.ejvsvf.2020.09.001. eCollection 2020.

Authors

Axel Haine¹, Alexander Rosenov¹, Nando Mertineit², Iris Baumgartner¹, Marc Schindewolf¹

Affiliations

¹ Division of Angiology, Swiss Cardiovascular Centre, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
² Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Abstract

Introduction: A 55 year old man who suffered from recurrent traumatic multi-organ bleeding presented with deterioration in kidney function and pulmonary embolism caused by a newly diagnosed renal vein thrombosis during hospitalisation.

Report: Complete clot removal was performed successfully by catheter directed aspiration. Thrombotic emboli were captured in a temporary filter device. A post-interventional computed tomography scan showed full restoration of the occluded renal vein.

Discussion: Use of a temporary catheter based vena cava filter (Capturex) during catheter directed thrombectomy is safe and should be considered to prevent thrombo-embolism in selected cases when any rheolytic therapy is contraindicated.

Keywords: Mechanical thrombectomy; Pulmonary embolism; Thrombosis; Vena cava filter.

Publication types

Case Reports