Published online Oct 6, 2021. doi: 10.12998/wjcc.v9.i28.8531
Peer-review started: April 28, 2021
First decision: May 23, 2021
Revised: May 26, 2021
Accepted: August 12, 2021
Article in press: August 12, 2021
Published online: October 6, 2021
Processing time: 152 Days and 19.6 Hours
Acute renal artery thrombosis is a relatively rare disease. Early diagnosis and emergent treatment can prevent the loss of renal function and the development of hypertension.
We report a patient with acute renal artery thrombosis who presented to our hospital with acute-onset right flank pain and was treated by percutaneous mechanical thrombectomy using the Rotarex device. After 2 mo, right kidney function had recovered slightly.
Renal artery thrombosis may lead to loss of renal function and the development of hypertension. Rotarex mechanical thrombectomy may be a viable treatment option for rapid recanalization of the renal artery in patients with renal artery thrombosis.
Core Tip: Acute renal artery thrombosis is a relatively rare disease, and will lead to acute renal infarction. Several options have been reported such as systemic anticoagulation, percutaneous interventional therapy and surgical operation. It is the first time that Rotarex mechanical thrombectomy catheter was used to treat renal artery thrombosis. Our case confirmed that the Rotarex system may be a safe way to rapidly recanalize the renal artery in renal artery thrombosis patient. It may be a treatment option for renal artery thrombosis in the future.