Unclogging the effects of the Angiojet® thrombectomy system on kidney function: a case report.
Tayeba RoperMuhammad AmaranPrakash SahaCormac BreenDavid GamePublished in: Journal of medical case reports (2021)
AKI is an increasingly recognised complication following AngioJet® thrombectomy, but remains underappreciated in clinical practice. AKI results from intravascular haemolysis caused by the device. Up to 13% of patients require RRT, but overall short-term prognosis is good. Pre-procedural risk factors for the development of AKI include recent major surgery. Sodium bicarbonate should be administered to those who develop renal impairment. Renal biopsy is high risk and does not add to management. Increased clinician awareness and vigilance for AKI post-procedure can allow for early recognition and referral to nephrology services for ongoing management.
Keyphrases
- acute kidney injury
- end stage renal disease
- minimally invasive
- clinical practice
- primary care
- acute ischemic stroke
- chronic kidney disease
- ejection fraction
- newly diagnosed
- healthcare
- prognostic factors
- peritoneal dialysis
- coronary artery bypass
- coronary artery disease
- acute coronary syndrome
- atrial fibrillation
- fine needle aspiration
- health insurance