Late renal artery occlusion following endovascular repair of abdominal aortic aneurysm: a possible complication of mural thrombus formation within aortic endografts

Vascular. 2014 Jun;22(3):209-13. doi: 10.1177/1708538113479515.

Abstract

Mural thrombus formation within aortic endoprostheses has been described to occur in up to one-third of aortic endografts depending on the device type. Data regarding the clinical significance of such a phenomenon are scarce, but in most cases it is considered to be clinically innocent. The authors describe a rare case of late renal artery occlusion due to intraprosthetic thrombus formation and extension into the right renal orifice 30 months after endovascular abdominal aortic aneurysm repair. Additionally, a brief literature review regarding the incidence and natural history of mural thrombotic deposits within aortic endografts is also conducted.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortography / methods
  • Asymptomatic Diseases
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / methods
  • Humans
  • Male
  • Middle Aged
  • Platelet Aggregation Inhibitors / administration & dosage*
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / physiopathology
  • Postoperative Complications* / therapy
  • Renal Artery Obstruction* / diagnosis
  • Renal Artery Obstruction* / etiology
  • Renal Artery Obstruction* / physiopathology
  • Renal Artery Obstruction* / therapy
  • Thrombosis* / diagnosis
  • Thrombosis* / etiology
  • Thrombosis* / physiopathology
  • Thrombosis* / therapy
  • Treatment Outcome
  • Ultrasonography, Doppler, Color / methods
  • Watchful Waiting / methods

Substances

  • Platelet Aggregation Inhibitors