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肾移植动静脉瘘的介入治疗

Interventional management of renal transplant arteriovenous fistula.

作者信息

Laberge Jeanne M

机构信息

Department of Radiology, Division of Interventional Radiology, University of California, San Francisco.

出版信息

Semin Intervent Radiol. 2004 Dec;21(4):239-46. doi: 10.1055/s-2004-861558.

DOI:10.1055/s-2004-861558
PMID:21331135
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3036239/
Abstract

Percutaneous needle biopsy has become an indispensable tool for the evaluation and management of patients with renal allograft dysfunction. But this invasive procedure is not without risk. Vascular injury in the form of arteriovenous fistula, pseudoaneurysm, or arteriocalyceal fistula may result in symptoms that require percutaneous endovascular intervention. In this article, the occurrence, detection, and treatment of biopsy-related renal transplant injury are described.

摘要

经皮肾穿刺活检已成为评估和处理肾移植功能障碍患者不可或缺的工具。但这种侵入性操作并非毫无风险。动静脉瘘、假性动脉瘤或动脉肾盂瘘等形式的血管损伤可能导致需要经皮血管内介入治疗的症状。本文描述了活检相关的肾移植损伤的发生、检测及治疗。

相似文献

1
Interventional management of renal transplant arteriovenous fistula.肾移植动静脉瘘的介入治疗
Semin Intervent Radiol. 2004 Dec;21(4):239-46. doi: 10.1055/s-2004-861558.
2
Embolization of postbiopsy and postnephrostomy complications in transplanted kidney: a case report.移植肾活检及肾造瘘术后并发症的栓塞治疗:一例报告
Transplant Proc. 2008 Dec;40(10):3767-9. doi: 10.1016/j.transproceed.2008.06.077.
3
[Evolution of arteriovenous fistula between renal artery and vein in renal allograft after percutaneous nephrostomy in a renal transplant recipient].[肾移植受者经皮肾造瘘术后同种异体肾移植肾动静脉瘘的演变]
Acta Med Croatica. 2011;65(4):371-5.
4
Renal allograft arteriovenous fistula and large pseudoaneurysm.肾移植动脉静脉瘘和巨大假性动脉瘤。
Clin Transplant. 2003 Feb;17(1):9-12. doi: 10.1034/j.1399-0012.2003.02089.x.
5
Arterio-venous fistula with pseudoaneurysm of renal artery.
Bratisl Lek Listy. 2012;113(5):289-92. doi: 10.4149/bll_2012_067.
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Percapsular and percutaneous embolization of renal transplant pseudoaneurysm and AV fistula: case report.
Cardiovasc Intervent Radiol. 1989 Sep-Oct;12(5):270-3. doi: 10.1007/BF02575414.
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Delayed presentation of arteriovenous fistula and pseudoaneurysms in a renal transplant patient 10 years after percutaneous allograft biopsy.肾移植患者经皮同种异体肾活检10年后出现动静脉瘘和假性动脉瘤的延迟表现。
Transplant Proc. 2008 Sep;40(7):2444-5. doi: 10.1016/j.transproceed.2008.07.065.
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Salvage of bleeding renal allograft following biopsy, with suture technique: a case report.活检后采用缝合技术挽救出血性肾移植:一例病例报告。
J Med Case Rep. 2016 Apr 2;10:82. doi: 10.1186/s13256-016-0870-2.
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Management of post-biopsy renal allograft arteriovenous fistulas with selective arterial embolization: immediate and long-term outcomes.采用选择性动脉栓塞术治疗肾移植活检后肾动静脉瘘:近期和远期疗效
Clin Radiol. 2008 Jun;63(6):657-65. doi: 10.1016/j.crad.2007.11.014. Epub 2008 Feb 20.
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Renal dysfunction due to an arteriovenous fistula in a transplant recipient.移植受者动静脉瘘导致的肾功能障碍。
J Am Soc Nephrol. 1994 Dec;5(6):1300-6. doi: 10.1681/ASN.V561300.

引用本文的文献

1
Endovascular management of post traumatic giant renal arteriovenous fistula using occluder device.使用封堵器对创伤后巨大肾动静脉瘘进行血管内治疗。
Indian J Radiol Imaging. 2016 Jul-Sep;26(3):416-417. doi: 10.4103/0971-3026.190427.
2
Superselective Angiographic Embolization for Arteriovenous Fistula after a Protocol Biopsy in a Kidney Transplanted Child.肾移植儿童经方案活检后动静脉瘘的超选择性血管造影栓塞术
Indian J Pediatr. 2016 Mar;83(3):262-3. doi: 10.1007/s12098-015-1846-8. Epub 2015 Jul 31.
3
An uncommon but important complication of renal biopsy.肾活检一种罕见但重要的并发症。
BMJ Case Rep. 2014 May 8;2014:bcr2014204925. doi: 10.1136/bcr-2014-204925.

本文引用的文献

1
Imaging in renal transplantation.肾移植中的影像学检查
Ultrasound Q. 2003 Sep;19(3):123-38. doi: 10.1097/00013644-200309000-00003.
2
Protocol biopsy of the stable renal transplant: a multicenter study of methods and complication rates.稳定肾移植的协议活检:方法与并发症发生率的多中心研究
Transplantation. 2003 Sep 27;76(6):969-73. doi: 10.1097/01.TP.0000082542.99416.11.
3
Transcatheter embolization of biopsy-related vascular injuries in renal allografts. Long-term technical, clinical and biochemical results.肾移植活检相关血管损伤的经导管栓塞术。长期技术、临床及生化结果。
Acta Radiol. 2003 Jan;44(1):13-7.
4
Renal allograft arteriovenous fistula and large pseudoaneurysm.肾移植动脉静脉瘘和巨大假性动脉瘤。
Clin Transplant. 2003 Feb;17(1):9-12. doi: 10.1034/j.1399-0012.2003.02089.x.
5
Color-coded duplex sonography study of arteriovenous fistulae and pseudoaneurysms complicating percutaneous renal allograft biopsy.彩色编码双功超声检查对经皮肾移植活检术后并发动静脉瘘和假性动脉瘤的研究
Clin Nephrol. 2002 Dec;58(6):398-404. doi: 10.5414/cnp58398.
6
Post-biopsy renal arteriovenous fistula.
Pediatr Transplant. 2002 Feb;6(1):82-5. doi: 10.1034/j.1399-3046.2002.1c046.x.
7
Embolization for arteriovenous fistula after graft biopsy in renal transplant recipients: is it essential for all cases?肾移植受者移植肾活检后动静脉瘘的栓塞治疗:是否所有病例均需进行?
Transplant Proc. 2000 Nov;32(7):1911. doi: 10.1016/s0041-1345(00)01488-3.
8
Carbon dioxide and gadodiamide as the contrast agents for diagnosis and embolization of a post-biopsy arteriovenous fistula in a renal allograft.二氧化碳和钆双胺作为肾移植活检后动静脉瘘诊断及栓塞的造影剂。
Clin Radiol. 2000 Oct;55(10):801-3. doi: 10.1053/crad.1999.0168.
9
Ultrasound-guided renal biopsy: experience using an automated core biopsy system.超声引导下肾活检:使用自动活检针系统的经验
Can Assoc Radiol J. 2000 Apr;51(2):107-13.
10
Diagnostic techniques in the work-up of renal allograft dysfunction--an update.
Curr Opin Nephrol Hypertens. 1999 Nov;8(6):723-8. doi: 10.1097/00041552-199911000-00013.