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Case Reports
. 2021 Oct 6;9(28):8531-8536.
doi: 10.12998/wjcc.v9.i28.8531.

Rotarex mechanical thrombectomy in renal artery thrombosis: A case report

Wen-Rui Li  1 , Ming-Yuan Liu  1 , Xue-Ming Chen  1 , Zhi-Wen Zhang  2
Affiliations
Free PMC article
Case Reports

Rotarex mechanical thrombectomy in renal artery thrombosis: A case report

Wen-Rui Li et al. World J Clin Cases. .
Free PMC article

Abstract

Background: Acute renal artery thrombosis is a relatively rare disease. Early diagnosis and emergent treatment can prevent the loss of renal function and the development of hypertension.

Case summary: We report a patient with acute renal artery thrombosis who presented to our hospital with acute-onset right flank pain and was treated by percutaneous mechanical thrombectomy using the Rotarex device. After 2 mo, right kidney function had recovered slightly.

Conclusion: Renal artery thrombosis may lead to loss of renal function and the development of hypertension. Rotarex mechanical thrombectomy may be a viable treatment option for rapid recanalization of the renal artery in patients with renal artery thrombosis.

Keywords: Case report; Endovascular; Renal artery; Renal infarction; Thrombectomy; Thrombosis.

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Conflict of interest statement

Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.

Figures

Figure 1
Figure 1
Abdominal computed tomography angiography. Abdominal computed tomography angiogram demonstrating a partly unopacified right kidney suggestive of kidney infarction (orange arrow), and occlusive thrombus in the right renal artery (white arrow).
Figure 2
Figure 2
Angiography findings. A: Angiography revealed thrombotic occlusion in the main trunk of the right renal artery (orange arrow); B: Rotarex system (Straub Medical, Wangs, Switzerland) was activated in the right renal artery (orange arrow); C: Restoration of flow after mechanical thrombectomy in the renal artery on completion angiography.
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