Management of post-biopsy renal allograft arteriovenous fistulas with selective arterial embolization: immediate and long-term outcomes

Loffroy, Romaric; Guiu, Boris; Lambert, Aude; Mousson, Christiane; Tanter, Y.; Martín, Luis Ángel Guerras; Cercueil, Jean-Pierre; Krausé, D.

doi:10.1016/j.crad.2007.11.014

Cited by 71 publications

(52 citation statements)

References 18 publications

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“…However, mild complications of renal biopsy, such as micro or gross haematuria, are common but usually resolve within weeks. According to several publications, the incidence of AVF after renal biopsy varied between 4% and 17% for both native and transplanted kidneys [2][3][4][5]. Depending on size, growth and blood flow rate the clinical presentation can be very distinct.…”

Section: Discussionmentioning

confidence: 99%

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Wide acquired arteriovenous fistula between main renal artery and interlobar vein treated with nephrectomy

et al. 2014

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AbstractA case of renal arteriovenous fistula between the main renal artery and interlobar vein diagnosed 25 years after percutaneous renal biopsy was presented. A 62-year-old female was referred to a urologist with dilatation of the left renal pyelocalyceal system diagnosed after abdominal ultrasonography, while intravenous urography did not confirm that finding. Historically, she underwent renal biopsy 25 years ago without any complication. Her hypertension was well controlled during the last 10 years, although three antihypertensive drugs with occasional additional diuretics were necessary during the last 6 months. Color Duplex Ultrasonography, arteriography and Multi-Slice Computed Tomography revealed the presence of renal arteriovenous fistula between the main renal artery and interlobar vein, as well as severe dilatation of all interlobar veins, renal, ovarian and adrenal vein on the left side. Urological and vascular surgeons operated to ligate the fistula and preserve the kidney. However, it was not possible to reach the fistula inside the kidney and nephrectomy was performed.

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Section: Discussionmentioning

confidence: 99%

“…Over time, arterial blood fills the vein and forms a pseudoaneurysm, which can cause compressive lesions in the parenchyma, or penetrate the renal collecting system, leading to hematuria. Also, the shunting of blood through the fistula can provoke steal syndrome, which may induce deterioration of glomerular filtration rate (GFR) [4,5].…”

Section: Introductionmentioning

confidence: 99%

Wide acquired arteriovenous fistula between main renal artery and interlobar vein treated with nephrectomy

et al. 2014

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“…Doppler sonography allowing noninvasive diagnosis of AVFs is the diagnostic examination of choice (Ozbek, 1995). Angiography is the reference standard as it confirms the presence of the AVF, accurately assesses its size and location, and permits endovascular treatment (Loffroy, 2008). On Doppler, the AVF shows a focal area of turbulent flow and a localized region of disorganized color that extends outside the normal vessels on color Doppler.…”

Section: Arteriovenous Fistulamentioning

confidence: 99%

“…In most cases AVFs close spontaneously within a few months, but they warrant observation to exclude the need for therapeutic intervention. The likelihood of and time to spontaneous closure in renal allografts, and the optimal time for therapeutic intervention are not predictable (Loffroy, 2008). Treatment has been recommended when bleeding persists for more than 72 h, renal function deteriorates markedly, lesion enlarges and there is suspicion of steal phenomenon.…”

Section: Arteriovenous Fistulamentioning

confidence: 99%

Vascular Complications in Kidney Transplantation

Giakoustidis¹,

Antoniadis²,

Giakoustidis³

2011

Understanding the Complexities of Kidney Transplantation

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“…Interventional embolization and coiling of the feeder vessel or the aneurysm itself are rarely required. Malignant conversion with total or partial organ loss, is rare [25,66,[70][71][72][73][74][75][76][77][78][79][80][81].…”

Section: Hemorrhagementioning

confidence: 99%

Comments and extensions to EFSUMB guidelines on renal interventional ultrasound (INVUS).

et al. 2016

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A substantial evidence base for interventional ultrasound approaches to renal diagnostic sampling and therapeutic access exists. This review comments on the evidence-based recommendations regarding ultrasound-guided renal access which have been published recently within the framework of Guidelines on Interventional Ultrasound (InVUS) of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) from a clinical practice point of view. Specific aspects of tissue handling and workup, procedural approach and patient interaction are discussed. Indications, contraindications, risk factors and methods to reduce these risks are considered.

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Management of post-biopsy renal allograft arteriovenous fistulas with selective arterial embolization: immediate and long-term outcomes

Cited by 71 publications

References 18 publications

Wide acquired arteriovenous fistula between main renal artery and interlobar vein treated with nephrectomy

Wide acquired arteriovenous fistula between main renal artery and interlobar vein treated with nephrectomy

Vascular Complications in Kidney Transplantation

Comments and extensions to EFSUMB guidelines on renal interventional ultrasound (INVUS).

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