Biopsy-induced arteriovenous fistula and venous aneurysm in a renal transplant

Martínez, Tomás Daroca; Palomares, María T Liz-Lois; Bravo, Juan; Alvarez, Gustavo Steffen; Galindo, P.J.; Entrena, A G; Osuma, A; Asensio, C

doi:10.1093/ndt/13.11.2937

Cited by 32 publications

(24 citation statements)

References 1 publication

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“…It has been reported that 70% of all AVFs resolve within 1-2 years, but that 30% persist or become symptomatic (26). Persistent or symptomatic AVFs can result in persistent hematuria or transplant dysfunction as the result of marked arteriovenous shunting stemming from an intrarenal "steal" phenomenon (Fig 12).…”

Section: Biopsy-induced Vascular Injuriesmentioning

confidence: 99%

Interventional Radiologic Management of Renal Transplant Dysfunction: Indications, Limitations, and Technical Considerations

Kobayashi¹,

Censullo²,

Rossman³

et al. 2007

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Renal transplantation is the treatment of choice for most patients with end-stage renal disease. However, in spite of continuous progress in surgical techniques and immunosuppressive therapy, a wide variety of vascular and nonvascular complications can arise postoperatively. Vascular complications include transplant renal artery stenosis, arteriovenous fistulas or intrarenal pseudoaneurysms following renal transplant biopsy, extrarenal pseudoaneurysms, and graft thrombosis. Nonvascular complications include urologic complications (eg, ureteral obstruction, urine leak) and perigraft fluid collections (eg, lymphocele, abscess, hematoma, urinoma). These postoperative complications can be diagnosed and managed with minimally invasive techniques; however, an understanding of renal transplant anatomy and the risks of posttransplantation immunosuppressive therapy unique to this patient population is essential to their successful application. In addition, familiarity with the indications for and limitations of these techniques as well as collaboration between the radiologist and the transplantation surgeon are vital for maximizing the chances of renal allograft survival.

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Section: Biopsy-induced Vascular Injuriesmentioning

confidence: 99%

Interventional Radiologic Management of Renal Transplant Dysfunction: Indications, Limitations, and Technical Considerations

Kobayashi¹,

Censullo²,

Rossman³

et al. 2007

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137

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“…Mikroskobik hematüri ve perirenal hematom gibi minör komplikasyonlar genellikle biyopsi sonrası birkaç hafta içinde düzelirken, AVF'nin %70'inin ilk biriki yıl içinde spontan olarak gerilediği, %30'unun ise ilerleyip semptomatik olduğu bildirilmiştir. 6,7 AVF gelişen hastaların kliniği sessiz olabileceği gibi yan ağrısı, makroskobik hematüri, hipertansiyon, abdominal arteriyel üfürüm, yüksek debili kalp yetmezliği, böbrek fonksiyonlarında bozulma ve hayatı tehdit eden ciddi kanamaya sebep olabilir. 8 Bizim olgumuzda AVF açısından şüphe uyandıran patolojik bulgular ise biyopsinin yapıldığı tarafta yan ağrısı ve makroskobik hematüri idi.…”

Section: Discussionunclassified

Rare but Feared Complications of Percutaneous Renal Biopsy: Arteriovenous Fistula and Pseudoaneurysm

Cevher¹,

Yenigun²,

Dede³

2016

Turkiye Klinikleri J Intern Med

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“…10 It was thought to be attributable to two factors: (1) a permanent increase in intravenous fl ow and pressure from an AVF; and (2) the presence of a draining vein stenosis. However, as we could not fi nd any stenosis along the draining veins in our case, any direct venous injury might be preceded by venous aneurysm formation, which could be aggravated by the increased intravenous shunt fl ow afterward.…”

Section: Discussionmentioning

confidence: 99%

Transarterial embolization of large complex arteriovenous fistula associated with hip joint surgery

Chun

Osuga

Sugihara³

et al. 2010

Jpn J Radiol

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Arteriovenous fistula may be due to a vascular injury during various orthopedic surgeries. It may cause massive, unexpected bleeding during or following an operation or during rehabilitation. We report herein the case of a 48-year-old woman with a previous history of hip joint surgery due to congenital hip dislocation who experienced massive bleeding during a second operation. Postoperative pelvic angiography revealed large, complex arteriovenous fistulas with combined venous aneurysm. She was managed successfully by transarterial embolization.

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Biopsy-induced arteriovenous fistula and venous aneurysm in a renal transplant

Cited by 32 publications

References 1 publication

Interventional Radiologic Management of Renal Transplant Dysfunction: Indications, Limitations, and Technical Considerations

Interventional Radiologic Management of Renal Transplant Dysfunction: Indications, Limitations, and Technical Considerations

Rare but Feared Complications of Percutaneous Renal Biopsy: Arteriovenous Fistula and Pseudoaneurysm

Transarterial embolization of large complex arteriovenous fistula associated with hip joint surgery

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