Successfully Treated Femoral Artery Thrombosis in a Patient with Minimal Change Nephrotic Syndrome
- Author:
Ji Kyoung LEE
1
;
Moon Seong BAEK
;
Young Mi MOK
;
Sung Ai KIM
;
Beom Jin LIM
;
Ji Eun LEE
;
Hyunwook KIM
Author Information
- Publication Type:Case Report
- Keywords: Nephrotic syndrome; Nephrosis, lipoid; Peripheral arterial disease
- MeSH: Adult; Angiography; Atherosclerosis; Blood Coagulation Factors; Catheters; Female; Femoral Artery; Humans; Leg; Nephrosis, Lipoid; Nephrotic Syndrome; Peripheral Arterial Disease; Punctures; Risk Factors; Thrombectomy; Thrombosis
- From:Chonnam Medical Journal 2013;49(1):50-53
- CountryRepublic of Korea
- Language:English
- Abstract: In contrast to widely recognized venous thrombotic complications, peripheral arterial thrombosis as a complication of nephrotic syndrome, especially without preceding iatrogenic venous puncture, corticosteroid treatment, or coagulation factor abnormalities, has rarely been reported in adult female patients. We report the case of a 39-year-old woman who presented with pain in the right lower leg accompanied by minimal change nephrotic syndrome. Lower-extremity angiography showed total occlusion of the right superficial femoral artery. Thrombectomy was performed with a balloon catheter, and the thrombi were successfully aspirated. Our experience indicates that even if few traditional risk factors for atherosclerosis are identified, a high index of suspicion and aggressive treatment of arterial thrombosis in adult nephrotic syndrome are crucial to minimize serious ischemic injuries.
