Salvage of renal allograft function and lower extremity venous patency with thrombolytic therapy: Case report and review of the literature
Five months after a cadaveric renal transplant a 69-year-old man was admitted with caval, iliac, and renal allograft vein thrombosis that occurred in the setting of a previously placed caval filter. The patient's urine output and renal function deteriorated rapidly. Thrombolytic therapy with ur...
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Veröffentlicht in: | Journal of vascular surgery 1995-04, Vol.21 (4), p.691-696 |
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creator | Killewich, Lois A. Pais, S.Osher Sandager, Gail Flinn, William R. Bartlett, Stephen T. |
description | Five months after a cadaveric renal transplant a 69-year-old man was admitted with caval, iliac, and renal allograft vein thrombosis that occurred in the setting of a previously placed caval filter. The patient's urine output and renal function deteriorated rapidly. Thrombolytic therapy with urokinase was begun, and lysis of the thrombus occurred in 72 hours. The patient's renal function returned to baseline, and the transplant was salvaged. Moreover lower extremity venous patency and valvular function were maintained. We report the case and review the literature on thrombolytic therapy for renal allograft vein and lower extremity deep venous thrombosis. (J V
ASC S
URG 1995;21:691-6.) |
doi_str_mv | 10.1016/S0741-5214(95)70200-8 |
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ASC S
URG 1995;21:691-6.)</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/S0741-5214(95)70200-8</identifier><identifier>PMID: 7707573</identifier><identifier>CODEN: JVSUES</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Biological and medical sciences ; Blood. Blood coagulation. Reticuloendothelial system ; Femoral Vein - pathology ; Follow-Up Studies ; Graft Occlusion, Vascular - drug therapy ; Graft Survival ; Humans ; Iliac Vein - pathology ; Kidney Transplantation - physiology ; Male ; Medical sciences ; Pharmacology. Drug treatments ; Renal Veins - pathology ; Thrombolytic Therapy ; Thrombosis - drug therapy ; Transplantation, Homologous ; Urokinase-Type Plasminogen Activator - therapeutic use ; Vascular Patency ; Vena Cava Filters ; Vena Cava, Inferior - pathology</subject><ispartof>Journal of vascular surgery, 1995-04, Vol.21 (4), p.691-696</ispartof><rights>1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-765b21ad3e0b5c19f6cce8388483b9e5a8617526772598855cbb26f7bfd154b23</citedby><cites>FETCH-LOGICAL-c436t-765b21ad3e0b5c19f6cce8388483b9e5a8617526772598855cbb26f7bfd154b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0741521495702008$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3496233$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7707573$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Killewich, Lois A.</creatorcontrib><creatorcontrib>Pais, S.Osher</creatorcontrib><creatorcontrib>Sandager, Gail</creatorcontrib><creatorcontrib>Flinn, William R.</creatorcontrib><creatorcontrib>Bartlett, Stephen T.</creatorcontrib><creatorcontrib>From the Sections of Vascular Surgery and Transplantation, Department of Surgery, and Division of Vascular Radiology, Department of Radiology, University of Maryland, Baltimore</creatorcontrib><title>Salvage of renal allograft function and lower extremity venous patency with thrombolytic therapy: Case report and review of the literature</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>Five months after a cadaveric renal transplant a 69-year-old man was admitted with caval, iliac, and renal allograft vein thrombosis that occurred in the setting of a previously placed caval filter. The patient's urine output and renal function deteriorated rapidly. Thrombolytic therapy with urokinase was begun, and lysis of the thrombus occurred in 72 hours. The patient's renal function returned to baseline, and the transplant was salvaged. Moreover lower extremity venous patency and valvular function were maintained. We report the case and review the literature on thrombolytic therapy for renal allograft vein and lower extremity deep venous thrombosis. (J V
ASC S
URG 1995;21:691-6.)</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood coagulation. Reticuloendothelial system</subject><subject>Femoral Vein - pathology</subject><subject>Follow-Up Studies</subject><subject>Graft Occlusion, Vascular - drug therapy</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Iliac Vein - pathology</subject><subject>Kidney Transplantation - physiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pharmacology. Drug treatments</subject><subject>Renal Veins - pathology</subject><subject>Thrombolytic Therapy</subject><subject>Thrombosis - drug therapy</subject><subject>Transplantation, Homologous</subject><subject>Urokinase-Type Plasminogen Activator - therapeutic use</subject><subject>Vascular Patency</subject><subject>Vena Cava Filters</subject><subject>Vena Cava, Inferior - pathology</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc2OFCEUhYnRjO3oI0zCwhhdlEJVUYAbYzr-JZO4GF0TirrMYKiiBKrbegWfWvonvXVFyP3OuXAOQjeUvKWEdu_uCG9pxWravpbsDSc1IZV4hDaUSF51gsjHaHNBnqJnKf0ihFIm-BW64pxwxpsN-nun_U7fAw4WR5i0x9r7cB-1zdguk8kuTFhPA_ZhDxHDnxxhdHnFO5jCkvCsM0xmxXuXH3B-iGHsg1-zM-UCUc_re7zVCYr3HGI-OkXYOdgfFhYEe5cLl5cIz9ETq32CF-fzGv38_OnH9mt1-_3Lt-3H28q0TZcr3rG-pnpogPTMUGk7Y0A0QrSi6SUwLTrKWd1xXjMpBGOm7-vO8t4OlLV93VyjVyffOYbfC6SsRpcMeK8nKF9SRUhayXkB2Qk0MaQUwao5ulHHVVGiDh2oYwfqELCSTB07UKLobs4Lln6E4aI6h17mL89znYz2NurJuHTBmlZ2dXPAPpwwKGGUyKJKxpWwYXARTFZDcP95yD_6-6Wj</recordid><startdate>19950401</startdate><enddate>19950401</enddate><creator>Killewich, Lois A.</creator><creator>Pais, S.Osher</creator><creator>Sandager, Gail</creator><creator>Flinn, William R.</creator><creator>Bartlett, Stephen T.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950401</creationdate><title>Salvage of renal allograft function and lower extremity venous patency with thrombolytic therapy: Case report and review of the literature</title><author>Killewich, Lois A. ; Pais, S.Osher ; Sandager, Gail ; Flinn, William R. ; Bartlett, Stephen T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-765b21ad3e0b5c19f6cce8388483b9e5a8617526772598855cbb26f7bfd154b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood. Blood coagulation. Reticuloendothelial system</topic><topic>Femoral Vein - pathology</topic><topic>Follow-Up Studies</topic><topic>Graft Occlusion, Vascular - drug therapy</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Iliac Vein - pathology</topic><topic>Kidney Transplantation - physiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pharmacology. Drug treatments</topic><topic>Renal Veins - pathology</topic><topic>Thrombolytic Therapy</topic><topic>Thrombosis - drug therapy</topic><topic>Transplantation, Homologous</topic><topic>Urokinase-Type Plasminogen Activator - therapeutic use</topic><topic>Vascular Patency</topic><topic>Vena Cava Filters</topic><topic>Vena Cava, Inferior - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Killewich, Lois A.</creatorcontrib><creatorcontrib>Pais, S.Osher</creatorcontrib><creatorcontrib>Sandager, Gail</creatorcontrib><creatorcontrib>Flinn, William R.</creatorcontrib><creatorcontrib>Bartlett, Stephen T.</creatorcontrib><creatorcontrib>From the Sections of Vascular Surgery and Transplantation, Department of Surgery, and Division of Vascular Radiology, Department of Radiology, University of Maryland, Baltimore</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Killewich, Lois A.</au><au>Pais, S.Osher</au><au>Sandager, Gail</au><au>Flinn, William R.</au><au>Bartlett, Stephen T.</au><aucorp>From the Sections of Vascular Surgery and Transplantation, Department of Surgery, and Division of Vascular Radiology, Department of Radiology, University of Maryland, Baltimore</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Salvage of renal allograft function and lower extremity venous patency with thrombolytic therapy: Case report and review of the literature</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>1995-04-01</date><risdate>1995</risdate><volume>21</volume><issue>4</issue><spage>691</spage><epage>696</epage><pages>691-696</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>Five months after a cadaveric renal transplant a 69-year-old man was admitted with caval, iliac, and renal allograft vein thrombosis that occurred in the setting of a previously placed caval filter. The patient's urine output and renal function deteriorated rapidly. Thrombolytic therapy with urokinase was begun, and lysis of the thrombus occurred in 72 hours. The patient's renal function returned to baseline, and the transplant was salvaged. Moreover lower extremity venous patency and valvular function were maintained. We report the case and review the literature on thrombolytic therapy for renal allograft vein and lower extremity deep venous thrombosis. (J V
ASC S
URG 1995;21:691-6.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>7707573</pmid><doi>10.1016/S0741-5214(95)70200-8</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Biological and medical sciences Blood. Blood coagulation. Reticuloendothelial system Femoral Vein - pathology Follow-Up Studies Graft Occlusion, Vascular - drug therapy Graft Survival Humans Iliac Vein - pathology Kidney Transplantation - physiology Male Medical sciences Pharmacology. Drug treatments Renal Veins - pathology Thrombolytic Therapy Thrombosis - drug therapy Transplantation, Homologous Urokinase-Type Plasminogen Activator - therapeutic use Vascular Patency Vena Cava Filters Vena Cava, Inferior - pathology |
title | Salvage of renal allograft function and lower extremity venous patency with thrombolytic therapy: Case report and review of the literature |
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