Eng Mary, Vaughan Thomas E, Woo Danny, Buell Joseph F
Department of Surgery, Division of Transplantation, University of Louisville, Ambulatory Care Building, 2nd Floor, Louisville, KY 40292, USA.
J Clin Ultrasound. 2010 May;38(4):215-7. doi: 10.1002/jcu.20645.
Percutaneous renal biopsy is a convenient method to obtain allograft tissue for histologic evaluation. Vascular complications, such as arteriovenous (AV) fistula and pseudoaneurysm, following renal biopsy are well known, and they usually resolve without further intervention. When symptomatic, they should be treated. We present a patient on chronic anticoagulation who developed a pseudoaneurysm after percutaneous renal biopsy. Applying techniques learned in the management of femoral artery pseudoaneurysm, we treated our patient with ultrasound-guided thrombin injection.
经皮肾活检是获取移植肾组织进行组织学评估的一种便捷方法。肾活检后出现的血管并发症，如动静脉（AV）瘘和假性动脉瘤，是众所周知的，且通常无需进一步干预即可自行缓解。出现症状时，则应进行治疗。我们报告了一例正在接受慢性抗凝治疗的患者，该患者在经皮肾活检后发生了假性动脉瘤。我们应用在股动脉假性动脉瘤管理中所学的技术，对该患者进行了超声引导下凝血酶注射治疗。
