Unusual Cause of Postrenal Biopsy Anuria in a Renal Transplant Patient

Huang, Chien‐Wei; Chou, Kang‐Ju; Fang, Hua-Chang; Chen, Chien-Liang; Lee, Po‐Tsang; Chung, Hsiao-Min; Hsu, Chih‐Yang

doi:10.1097/maj.0b013e3182037477

Cited by 1 publication

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Renal biopsy is recognized as the gold standard for the evaluation of renal graft dysfunction; this allows for differential diagnosis and treatment of multiple conditions that can be associated. [ 1 ] Despite its invasive nature, percutaneous renal biopsy is a relatively safe procedure,[ 2 ] with a low incidence of vascular complications, ranging from 0.2–2% of patients, including bleeding and the development of arteriovenous fistulas (AVFs). [ 2 3 ] The incidence of AVF after kidney graft biopsy is reported in up to 16% of cases, a complication that largely improves spontaneously without any therapy.…”

Section: Introductionmentioning

confidence: 99%

Treatment of post-biopsy arteriovenous fistula of a renal graft by selective embolization

et al. 2021

View full text Add to dashboard Cite

The development of an arteriovenous fistula (AVF) after renal graft biopsy is a rare complication, it is associated in most cases with spontaneous resolution. However, interventional therapies are required in some cases, to prevent graft loss. Selective embolization has been described as an alternative treatment. In the present study, we describes our experience on AVF after biopsy in kidney transplant patients, which was managed with selective embolization. From 2005 to 2015, a total of 452 kidney transplant biopsies were performed, 12 had an AVF requiring embolization. In 92% of cases, this was successful. Beforehand, mean serum creatinine levels were 2.45 mg/dL, after the procedure, that increased to 3.05, however, 3 months later, mean creatinine levels dropped to 1.85 mg/dL. Graft survival after 2 follow-up years was 72%. Our experience demonstrates that selective embolization of the AVF after kidney transplant biopsy is a safe procedure, and that transplant function can be maintained in patients with this complication.

show abstract