Journal Article

Complete renal recovery from severe acute renal failure after thrombolysis of bilateral renal vein thrombosis

Suresh Ramadoss, Robert G. Jones, Lukas Foggensteiner, Andrew P. Willis and Martin J. Duddy

in Clinical Kidney Journal

Published on behalf of European Renal Association - European Dialysis and Transplant Assoc

Volume 5, issue 5, pages 428-430
Published in print October 2012 | ISSN: 1753-0784
Published online October 2012 | e-ISSN: 1753-0792 | DOI: https://dx.doi.org/10.1093/ckj/sfs118

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A previously healthy young man presented with acute renal failure due to extensive spontaneous deep vein thrombosis, including the inferior vena cava (IVC) and both renal veins. The patient was treated with selectively delivered thrombolytic therapy over a 7-day-period, which resulted in renal vein patency and complete recovery of renal function. A stent was placed over a segment stenosis of the IVC. No thrombophilic factors were identified. Bilateral renal vein thrombosis in young fit individuals is an unusual cause of acute renal failure. Thrombolytic therapy, even with delay, can completely restore renal function.

Keywords: acute bilateral renal venous thrombosis; inferior vena cava; renal failure; thrombolysis

Journal Article.  1201 words.  Illustrated.

Subjects: Nephrology

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