Felix Hofer, Jan Mueller, Dragan Copic, Sabine Eichinger-Hasenauer, Christian Kinstner, Lukas Reider, Marieke Merrelaar, Stephan Korn, Wolfgang Bauer, Renate Koppensteiner, Constantin Aschauer, Gere Sunder-Plassmann, Alice Schmidt, Oliver Schlager
CASE: A 33-year-old man with previously diagnosed lupus membranous nephropathy presented with painful swelling in both legs. Laboratory tests revealed acute kidney injury, and imaging studies by duplex ultrasound and computed tomography scan showed acute thrombosis of both renal veins, the infrahepatic inferior vena cava, and both iliofemoral venous segments. Initially, pharmacomechanical thrombolysis led to an insufficient morphological result. The therapeutic breakthrough was achieved by catheter-based mechanical thrombectomy of the infrarenal vena cava and both renal veins, which successfully cleared all affected venous segments from thrombus, paralleled by improvement of the patient's condition...
February 22, 2024: Journal of Endovascular Therapy