Percutaneous selective embolectomy using a Fogarty Thru-Lumen Catheter for pancreas graft thrombosis: a case report

Cardiovasc Intervent Radiol. 2011 Jun;34(3):650-3. doi: 10.1007/s00270-010-0093-7. Epub 2010 Dec 30.

Abstract

A 57-year-old woman with a history of diabetes mellitus underwent simultaneous pancreas-kidney transplantation. The pancreaticoduodenal graft was implanted in the right iliac fossa. The donor's portal vein was anastomosed to the recipient's inferior vena cava (IVC). Seven days after the surgery, a thrombus was detected in the graft veins. Percutaneous thrombolysis was immediately performed; however, venous congestion was still present. We therefore attempted selective embolectomy using a Fogarty Thru-Lumen Catheter. Thrombi were directed from the graft veins toward the IVC and captured in the IVC filter with complete elimination of the thrombus without any major complications. We present our technique for the successful treatment of pancreas graft thrombosis within a short time period by percutaneous selective embolectomy using a Fogarty Thru-Lumen Catheter.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical
  • Angiography
  • Catheters*
  • Embolectomy / instrumentation*
  • Embolectomy / methods*
  • Female
  • Humans
  • Kidney Transplantation*
  • Middle Aged
  • Pancreas / blood supply*
  • Pancreas Transplantation*
  • Portal Vein / diagnostic imaging
  • Portal Vein / surgery
  • Thrombolytic Therapy
  • Thrombosis / surgery*
  • Vena Cava Filters
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / surgery