• Internal medicine · Nov 2021

    Case Reports

    Acute Brachial Arterial Embolic Occlusion Following Anticoagulant Discontinuation in a Renal Biopsy of a Nephrotic Syndrome Patient.

    • Tomoki Taniguchi, Mayumi Tomita, Hiroyuki Ikeda, Ryo Kamimatsuse, Kojiro Yamamoto, Ai Shimizu, Yuko Yanai, Tadashi Kamata, and Noriyuki Iehara.
    • Department of Nephrology, Kyoto City Hospital, Japan.
    • Intern. Med. 2021 Nov 1; 60 (21): 345334583453-3458.

    AbstractA 73-year-old woman with atrial fibrillation treated with rivaroxaban was hospitalized for nephrotic syndrome. After discontinuation of rivaroxaban to lower the risk of hemorrhagic events, a renal biopsy was performed. Rivaroxaban was scheduled to resume a week after the biopsy to prevent renal hemorrhaging. However, she developed acute brachial arterial embolic occlusion and mural thrombosis in the abdominal aorta before resuming rivaroxaban. If immune-mediated renal diseases are suspected in anticoagulated patients at a risk of thrombotic events, physicians should consider initiating glucocorticoid therapy without a renal biopsy in order to avoid hemorrhagic and thrombotic events.

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