Endovascular treatment of arteriovenous fistulas complicating percutaneous renal biopsy in three paediatric cases

Bilge, İlmay; Rozanes, İzzet; Acunaş, Bülent; Minareci, Özenç; Nayır, Ahmet; Öktem, Faruk; Tonguç, Erdem; Kozok, Yasemen; Emre, Sevinç; Ander, Haluk; Şirin, Aydan; Poyanlı, Arzu

doi:10.1093/ndt/14.11.2726

Cited by 38 publications

(41 citation statements)

References 10 publications

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“…Total nephrectomy would likely have been necessary if the embolization had failed; this would be particularly undesirable in a patient with Alport syndrome, in whom the loss would hasten or increase the risk of future end-stage renal disease (ESRD). In the pediatric population, bucrylate, lipiodol, and coils have been utilized for embolization of renal AVFs [13]. The Amplatzer vascular plug has been used for occlusion of renal AVF in an adult patient [14].…”

Section: Discussionmentioning

confidence: 99%

Postrenal biopsy AVM leading to severe hypertension and dilated cardiomyopathy

et al. 2009

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A 3-year-old girl with Alport syndrome presented with decompensated heart failure from hypertension-induced cardiomyopathy 6 months following renal biopsy. Selective renal angiography revealed a large left renal arteriovenous fistula (AVF) with poor perfusion to the left renal parenchyma. The AVF was treated by transcatheter embolization using an Amplatzer vascular plug. Her blood pressure normalized after embolization, and her cardiac function normalized over the following 4 months.

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Section: Discussionmentioning

confidence: 99%

Postrenal biopsy AVM leading to severe hypertension and dilated cardiomyopathy

et al. 2009

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“…2,3,7 Bilge et al 11 reported that none of their 3 cases of symptomatic AVFs that occurred after renal biopsy resolved spontaneously; rather, they caused life-threatening bleeding. Alcazar et al 8 reported a case without radiologic follow-up who suffered from late development of hypertension and high-output cardiac failure, in which an AVF was detected via renal Doppler sonography 25 years after a renal biopsy.…”

Section: Discussionmentioning

confidence: 99%

Timing of Doppler examination for the detection of arteriovenous fistula after percutaneous renal biopsy

Yang

Lai

et al. 2008

J of Clinical Ultrasound

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Percutaneous renal biopsy is frequently performed, and postbiopsy arteriovenous fistula (AVF) formation is not uncommon. In most cases, it is asymptomatic and remains undiagnosed, because Doppler examination is not performed routinely. We describe 2 cases of postbiopsy AVF of the kidney that were detected 61 and 17 months after renal biopsy, respectively. The subsequent superselective transcatheter arterial embolization was successful in both cases. An undetected AVF of the kidney can progress and lead to serious consequences. A follow-up Doppler examination of the kidney soon after renal biopsy and 6 months later is recommended for early detection of nonresolving AVFs to prevent further complications.

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“…Transarterial embolization is an effective technique that can safely be used in major renal vascular injuries [2,[6][7][8][9]. It replaces emergency surgery, which is the only alternative in a patient with lifethreatening hematuria [2,10].…”

Section: Discussionmentioning

confidence: 99%

“…Injury to the intrarenal arterial system can cause an arteriovenous fistula and/or pseudoaneurysm [1][2][3][4][5]. Endovascular embolization is accepted as the recommended treatment of these lesions [2,6,7].…”

Section: Introductionmentioning

confidence: 99%

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Transarterial glue embolization in iatrogenic renovascular injuries

et al. 2008

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Iatrogenic injuries of the intrarenal arterial system include pseudoaneurysms and fistulas. They can cause hematuria and life-threatening hemodynamic instability, and therefore should be treated promptly. Endovascular treatment is recommended for these cases due to its effectiveness. Among the different agents used for embolization, n-butyl-2-cyanoacrylate (glue) has rarely been used. We present 15 patients with pseudoaneurysms and/or arteriovenous or caliceal fistulas who were treated by glue embolization. In our patient group, five had a history of percutaneous nephrolithotomy, six had renal biopsies, three had nephron-sparing surgery, and one had percutaneous nephrostomy. Glue embolizations were performed with the microcatheter technique. All patients were successfully treated, and all but one had excellent follow-ups. One patient suffered from disseminated intravascular coagulation secondary to transfusion and died after the procedure. We think glue embolization is a safe and effective treatment for this group of patients and present our experience along with the technical approach.

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Endovascular treatment of arteriovenous fistulas complicating percutaneous renal biopsy in three paediatric cases

Abstract: The technique of superselective embolization using a coaxial catheter is an effective and safe method in the treatment of post-biopsy AVFs and pseudoaneurysm.

Cited by 38 publications

References 10 publications

Postrenal biopsy AVM leading to severe hypertension and dilated cardiomyopathy

Postrenal biopsy AVM leading to severe hypertension and dilated cardiomyopathy

Timing of Doppler examination for the detection of arteriovenous fistula after percutaneous renal biopsy

Transarterial glue embolization in iatrogenic renovascular injuries

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