Li WR, Liu MY, Chen XM, Zhang ZW. Rotarex mechanical thrombectomy in renal artery thrombosis: A case report. World J Clin Cases 2021; 9(28): 8531-8536 [PMID: 34754864 DOI: 10.12998/wjcc.v9.i28.8531]
Corresponding Author of This Article
Zhi-Wen Zhang, MD, Doctor, Vascular Surgery Department, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong’an Road, Xicheng District, Beijing 100050, China. zhangzw102@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Wen-Rui Li, Ming-Yuan Liu, Xue-Ming Chen, Zhi-Wen Zhang, Vascular Surgery Department, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Author contributions: Li WR was involved in project development, data collection, and manuscript writing; Liu MY was involved in images collection, data analysis, and manuscript writing; Chen XM was involved in data collection and analysis; Zhang ZW was involved in project development and manuscript review and editing; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Wen Zhang, MD, Doctor, Vascular Surgery Department, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong’an Road, Xicheng District, Beijing 100050, China. zhangzw102@163.com
Received: April 28, 2021 Peer-review started: April 28, 2021 First decision: May 23, 2021 Revised: May 26, 2021 Accepted: August 12, 2021 Article in press: August 12, 2021 Published online: October 6, 2021 Processing time: 152 Days and 19.6 Hours
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.
Core Tip: Acute renal artery thrombosis is a relatively rare disease, and will lead to acute renal infarction. Several options have been reported such as systemic anticoagulation, percutaneous interventional therapy and surgical operation. It is the first time that Rotarex mechanical thrombectomy catheter was used to treat renal artery thrombosis. Our case confirmed that the Rotarex system may be a safe way to rapidly recanalize the renal artery in renal artery thrombosis patient. It may be a treatment option for renal artery thrombosis in the future.
