Madhusudhan K S, Gamanagatti S, Gupta A K
Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Indian J Nephrol. 2015 Jul-Aug;25(4):242-5. doi: 10.4103/0971-4065.146029.
Vascular complications after percutaneous renal biopsy are uncommon and may require interventional management. In most of these cases, the pathology is a renal arterial pseudoaneurysm (PsA) or an arterio-venous fistula. Injury to other vessels like aorta, lumbar arteries or mesenteric arteries is rare with only one case of left colic artery PsA reported in literature. We report a case of a 60-year-old female, who developed left colic artery PsA after renal biopsy, which was successfully embolized through endovascular route using microcoils.
经皮肾活检术后血管并发症并不常见,可能需要介入治疗。在大多数此类病例中,病理表现为肾动脉假性动脉瘤(PsA)或动静脉瘘。主动脉、腰动脉或肠系膜动脉等其他血管损伤罕见,文献中仅报道过1例左结肠动脉PsA。我们报告1例60岁女性患者,肾活检后发生左结肠动脉PsA,通过血管内途径使用微线圈成功栓塞。