Aspiração de trombos por via percutânea em estenose da artéria renal após transplante renal

Translated title of the contribution: Percutaneous thrombus aspiration in renal artery stenosis after renal transplantation

Hélder Alexandre Correia Dores*, Rui Campante Teles, António Nogueira, Manuel Almeida, Humberto Messias, José Diogo Barata, Miguel Mendes

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We describe the case of a patient with chronic renal failure under hemodialysis for five years who, after renal transplantation, developed acute renal failure and hypertension refractory to medical therapy. Given the clinical and imaging (renal ultrasound and computed tomography) suspicion of renal artery graft thrombosis, invasive angiography was performed, which confirmed the diagnosis. The therapeutic approach consisted of percutaneous thrombus aspiration and subsequent balloon angioplasty of the entire artery, followed by stent implantation in a second procedure. The clinical course was uneventful with improvement of renal function and normalization of blood pressure. The case highlights the importance of percutaneous intervention in the management of patients with vascular complications after transplantation, with successful application of a procedure normally used in the setting of acute myocardial infarction - percutaneous thrombus aspiration and implantation of a drug-eluting vascular stent.
Translated title of the contributionPercutaneous thrombus aspiration in renal artery stenosis after renal transplantation
Original languagePortuguese
Pages (from-to)803-808
Number of pages6
JournalRevista Portuguesa de Cardiologia
Volume31
Issue number12
DOIs
Publication statusPublished - Dec 2012
Externally publishedYes

Keywords

  • Renal artery stenosis
  • Renal transplantation
  • Thrombus aspiration

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