Acute pancreatitis after percutaneous mechanical thrombectomy: Case report and review of the literature

Richard C. Hershberger, Arash Bornak, Bernadette Aulivola, Krishna Mannava

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Purpose: We describe a case of severe acute pancreatitis after percutaneous mechanical thrombectomy (PMT) and review the literature for the occurrence of this complication. Materials and Methods: A 53-year-old man with a history of bilateral external iliac artery stent placement sought care for acute onset of lifestyle-limiting left claudication. Angiography confirmed left external iliac stent occlusion, and PMT with the AngioJet Xpeedior catheter (Possis Medical, Minneapolis MN) was performed. Results: After PMT of the occluded external iliac artery, a residual in-stent stenosis required the placement of a second iliac stent. The procedure was complicated by severe acute pancreatitis. Other causes of pancreatitis were eliminated during the patient's hospital stay. A literature review revealed nine cases of acute pancreatitis after PMT. Conclusion: Although rare, pancreatitis can be a devastating complication of PMT. The development of pancreatitis seems to be related to the products of extensive hemolysis triggering an inflammatory process. To prevent this complication, we recommend that close attention be paid to the duration and extent of PMT, thereby avoiding extensive hemolysis and subsequent complications.

Original languageEnglish (US)
Pages (from-to)S25-S30
JournalCardiovascular and Interventional Radiology
Volume34
Issue numberSUPPL. 2
DOIs
StatePublished - Feb 1 2011
Externally publishedYes

Keywords

  • AngioJet
  • Angioplasty
  • Pancreatitis
  • Percutaneous mechanical thrombectomy
  • Thrombolysis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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