Causes of hemoglobinuria after AngioJet mechanical thrombectomy
10.13929/j.1672-8475.201610012
- VernacularTitle:AngioJet机械血栓清除术后血红蛋白尿的原因分析
- Author:
Xinqiang HAN
;
Xuemin WANG
;
Chao MA
;
Zhu WANG
;
Yuguo SHENG
;
Gang CHEN
;
Peng ZHAO
;
Wenming WANG
- Keywords:
Thrombosis;
Hemoglobinuria;
Mechanical thrombectomy;
Intravascular hemolysis
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(4):218-222
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the causes and factors of hemoglobinuria in patients with thrombosis after AngioJet mechanical thrombectomy.Methods The clinical data of 16 patients with thrombosis treated by AngioJet thrombectomy system were retrospectively analyzed.Nine patients with hemoglobinuria during the procedure were included in group A,while 7 patients without hemoglobinuria in group B.The type of surgical procedure,time of intraoperative aspiration and the thrombus volume were compared between both groups.Results Nine (9/16,56.23 ％) of 16 patients were found hemoglobinuria during and after AngioJet mechanical thrombectomy.There were no statistically significant differences in surgical approaches (x2 =1.667,P=0.197),the time of intraoperative aspiration ([320.11±108.80]s vs [265.29±31.46]s,t=0.741,P=0.457),the thrombus volume (x2=0.442,P=0.506) between both groups.No renal function failure were noted directly relating to the use of the AngioJet thrombectomy device.Condusion There are many factors influenced the occurrence of hemoglobinuria in the patients after AngioJet thrombectomy.It can be reduced by using reasonable type of intraoperative aspiration,controled time of aspiration and active perioperative symptomatic treatment.
