While parental or oral anticoagulation remains a mainstay of therapy for thrombosis, in sporadic clinical situations, percutaneous mechanical thrombectomy is favored. Percutaneous mechanical thrombectomy is a well-tolerated subtype of catheterdirected intervention resulting in thrombus breakdown and removal. This procedure combines endovascular mechanical thrombectomy in combination with pharmacologic thrombolysis allowing for a significant reduction in procedure time. Similar to other catheter-based procedures, common complications include hemorrhage, dissection, pseudoaneurysm, and perforations. Acute pancreatitis, in contrast, is a rare complication of percutaneous mechanical thrombectomy with only limited cases reported and is hypothesized to occur secondary to release of heme byproducts. Here, we present a case of acute pancreatitis following outpatient percutaneous mechanical thrombectomy of the left common iliac vein that ultimately required hospitalization, intensive care unit (ICU) admission, and standard medical management for pancreatitis.
Pokharel, Ashik; Tu, Xinhang; Naqvi, Haider A.; Raza, Rafi; and Haas, Christopher J.
"Acute Pancreatitis following Percutaneous Mechanical Thrombectomy of Left Common Iliac Vein,"
Journal of Community Hospital Internal Medicine Perspectives: Vol. 13:
3, Article 18.
Available at: https://scholarlycommons.gbmc.org/jchimp/vol13/iss3/18