Resumo

TANEVA, Gergana T; EL AMRANI JOUTEY, Mehdi; OCANA GUAITA, Julia  e  GANDARIAS ZUNIGA, Claudio. Acute renal failure after the use of pharmacomechanical thrombectomy in acute venous thrombosis. Angiología [online]. 2020, vol.72, n.4, pp.198-203.  Epub 28-Dez-2020. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00093.

Pharmacomechanical thrombectomy (FMT) has proven to decrease the incidence of post-thrombotic syndrome after deep vein thrombosis (DVT), reducing comorbidities, associated costs and hospital admissions.

We present the case of a 23-year-old woman, without medical history of interest, who debuts with acute kidney injury (AKI) after TFM due to upper limb DVT. We review the literature published to date regarding AKI after the use of the FMT system for the treatment of DVT. The risk of AKI after FMT is considerable and although usually benign, this complication should be listed as possible complication after FMT. It is necessary to insist on adequate pre and postoperative hydration by limiting mechanical thrombectomy times and quantifying the effluent obtained to reduce possible nephrological damage. We emphasize prudence when indicating FMT in young and slim females.

Palavras-chave : AngioJet; Pharmacomechanical thrombectomy; Acute kidney injury; Vein thrombosis; Paget-Schrotter syndrome.

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