动静脉瘘作为肾活检的一种并发症。
Arteriovenous fistula as a complication of renal biopsy.
作者信息
Kopecna L, Mach V, Prochazka J
机构信息
1st Department of Paediatrics, Faculty of Medicine, Masarykiensis University, Brno, Czech Republic.
出版信息
Bratisl Lek Listy. 2005;106(6-7):218-20.
BACKGROUND
We evaluated the incidence and history of arteriovenous fistula (AVF) after kidney biopsy and assessed the use of superselective embolisation for treatment.
METHODS
Case report of a 10-year-old boy with nephrotic syndrome. Renal biopsy (RB) in this patient was complicated with AVF. Immediately after RB was undertaken, microscopic haematuria was observed, within 48 hours after the biopsy life-threatening haematuria due to pseudoaneurysm started. Renal angiography was carried out, which demonstrated a hyperthrophic aberrant artery in the region of the bottom pole of the left kidney, from which blood was instantaneously flowing through a high-flow arteriovenous fistula (AVF).
RESULTS
Embolization was carried out using small platinum coils (MWCE-18S-3/2, -18S-4/2, -18S-5/2TORNADO Embolization Microcoil) and the tissue adhesive Histoacryl.
CONCLUSIONS
The technique of superselective embolisation using coaxial catheter is a safe method in the treatment of post biopsy AVFs and pseudoaneurysm (Fig. 3, Ref. 6).
背景
我们评估了肾活检后动静脉瘘（AVF）的发生率及病史，并评估了超选择性栓塞术在治疗中的应用。
方法
一名10岁肾病综合征男孩的病例报告。该患者肾活检（RB）并发AVF。肾活检后立即观察到镜下血尿，活检后48小时内出现因假性动脉瘤导致的危及生命的血尿。进行了肾血管造影，显示左肾下极区域有一条肥厚的异常动脉，血液通过高流量动静脉瘘（AVF）瞬间从该动脉流出。
结果
使用小铂金线圈（MWCE - 18S - 3/2、- 18S - 4/2、- 18S - 5/2TORNADO栓塞微线圈）和组织粘合剂Histoacryl进行栓塞。
结论
使用同轴导管的超选择性栓塞技术是治疗活检后AVF和假性动脉瘤的一种安全方法（图3，参考文献6）。
Zotero 插件