E-ISSN 1305-3612
Interventional Radiology - Technical Note
Salvage of renal transplant with vacuum-assisted thrombectomy of large iliocaval and allograft venous outflow thrombus
1 Department of Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, USA  
Diagn Interv Radiol ; : -


A 47 year old male with a remote renal transplant due to pediatric glomerulonephritis on oral anticoagulation for symptomatic deep venous thrombosis and pulmonary emboli presented with sudden hip and groin pain. The patient was found to have a spinal epidural hematoma, underwent reversal of anticoagulation, and subsequently developed worsening renal function. Imaging revealed occlusive iliocaval venous thrombosis with extension to the renal allograft. Given risk of epidural hematoma expansion, the patient was deemed high risk for thrombolysis. The AngioVac system was used for single session thrombus removal. The patient’s renal function improved and no focal neurologic sequelae was noted post-procedure. 6 month follow up showed persistent vessel patency.

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