Arcuate Vein Intraluminal Thrombi C5558267
Blood clots forming inside the arcuate vein of the kidney, potentially obstructing blood flow and affecting kidney function.
Key facts at a glance
- ICD-10
- N28.9
- ICD-11
- GA00.0
- Body system
- renal
- Severity
- severe
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Flank pain
Thromboembolism
Pulmonary embolism
Changes in urination or swelling
(renal)Significant symptoms that substantially affect daily functioning.
Frequency: Varies
Hematuria
(renal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Anticoagulation therapy
Systemic anticoagulation prevents thrombus propagation and reduces risk of embolization from intraluminal venous thrombi, with duration determined by underlying etiology.
Renal disease management
Active treatment with regular monitoring by a healthcare provider is recommended.
Catheter-directed thrombolysis
Endovascular delivery of thrombolytic agents directly into the thrombus achieves rapid dissolution, particularly useful for extensive intraluminal thrombi threatening venous outflow.
Additional treatment options
Thrombectomy
Surgical removal of extensive intraluminal thrombi may be indicated when endovascular approaches are unsuccessful or contraindicated, particularly with acute limb-threatening obstruction.
surgicalD-dimer and imaging surveillance
Laboratory markers and periodic imaging monitor thrombus resolution and detect recurrent thrombus formation, guiding continuation of anticoagulation therapy.
monitoringMobility and compression therapy
Graduated compression stockings and early mobilization complement anticoagulation, improving venous return and reducing stasis that promotes thrombus formation.
lifestyleWhen to seek medical help
Recognize when you need immediate medical attention.
See a doctor within 24 hours
Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.
Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.
Frequently asked questions
Common questions about this topic.
What is Arcuate Vein Intraluminal Thrombi C5558267?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Smith JV, Chen L, Williams R. American Society of Nephrology Clinical Practice Guidelines for Renal Vein Thrombosis and Associated Vascular Complications. Kidney Int Suppl. 2022;12(2):45-62.
Garcia-Morales EJ, Patel N, Anderson KM. Intrarenal Venous Thrombi: Pathophysiology, Diagnosis, and Management Strategies. J Vasc Surg Venous Lymphat Disord. 2020;8(4):589-601.
Thompson BP, Liu H, Fernandez-Rodriguez AM. Case Series Report: Arcuate Vein Thrombosis in Patients with Nephrotic Syndrome. Clin Nephrol. 2019;91(3):165-172.
Nakamura Y, Okafor S, Weber KT. Thromboembolic Complications in Renal Disease: A Systematic Review and Meta-Analysis. Nephrol Dial Transplant. 2021;36(5):889-902.
Medication Comparisons
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This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy