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Acute Pancreatitis after Percutaneous Mechanical Thrombectomy: Case Report and Review of the Literature

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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.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Division of Vascular Surgery and Endovascular Therapy, Loyola University Chicago Medical Center, 2160 South First Avenue, EMS Building 110, Room 3218, Maywood, IL, 60153, USA

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

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  1. Richard C. Hershberger
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  2. Arash Bornak
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  3. Bernadette Aulivola
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  4. Krishna Mannava
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Correspondence to Richard C. Hershberger.

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Hershberger, R.C., Bornak, A., Aulivola, B. et al. Acute Pancreatitis after Percutaneous Mechanical Thrombectomy: Case Report and Review of the Literature. Cardiovasc Intervent Radiol 34 (Suppl 2), 25–30 (2011). https://doi.org/10.1007/s00270-010-0027-4

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  • DOI: https://doi.org/10.1007/s00270-010-0027-4

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