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活体供肾移植术前粗针活检术后及复发性血尿

Postoperative and Recurrent Hematuria after Pretransplant Core Needle Biopsy in Living Donor Kidney Transplant.

作者信息

Al-Adwan Yazan, Singh Navdeep, Chotai Pranit N, Siddiqui Farjad, Limkemann Ashley, Schenk Austin, Subramanian Jayanthan, Washburn W Kenneth, Alebrahim Musab, Rajab Amer

机构信息

Division of Transplantation, The Comprehensive Transplant Center, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

出版信息

Case Rep Transplant. 2022 Jul 28;2022:5274521. doi: 10.1155/2022/5274521. eCollection 2022.

DOI:10.1155/2022/5274521
PMID:35937758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9352472/
Abstract

BACKGROUND

Core needle and wedge biopsies are the two main pathologic ways to determine the suitability of a kidney allograft and to have a baseline allograft biopsy in case of future rejection. . A 57-year-old patient developed a renal arteriovenous fistula causing postoperative and recurrent hematuria after allograft pretransplant renal core needle biopsy and treated with selective Interventional radiology coil embolization.

CONCLUSION

Delayed profound hematuria can be seen after pretransplant core needle renal biopsies and can recur again even after complete resolution, due to arteriovenous fistula formation in the renal calyceal system.

摘要

背景

粗针穿刺活检和楔形活检是确定肾移植适用性以及在未来发生排斥反应时进行移植肾基线活检的两种主要病理方法。一名57岁患者在移植肾术前粗针穿刺活检后出现肾动静脉瘘，导致术后及反复血尿，并接受了选择性介入放射学线圈栓塞治疗。

结论

移植肾术前粗针穿刺活检后可能出现延迟性严重血尿，即使血尿完全缓解后也可能再次复发，原因是肾盏系统形成动静脉瘘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/e47a665f2f04/CRIT2022-5274521.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/171caed997c5/CRIT2022-5274521.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/3016f7dc3857/CRIT2022-5274521.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/c1c469535643/CRIT2022-5274521.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/e47a665f2f04/CRIT2022-5274521.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/171caed997c5/CRIT2022-5274521.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/3016f7dc3857/CRIT2022-5274521.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/c1c469535643/CRIT2022-5274521.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d254/9352472/e47a665f2f04/CRIT2022-5274521.004.jpg

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本文引用的文献

1
Comparison of native and transplant kidney biopsies: diagnostic yield and complications.自体肾活检与移植肾活检的比较：诊断率及并发症
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Protocol graft biopsy in kidney transplantation.肾移植中的方案性移植肾活检
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Hemorrhagic shock due to bleeding from an arteriovenous fistula after allograft biopsy in a kidney transplant recipient: a case report.肾移植受者同种异体肾活检后动静脉瘘出血导致失血性休克：一例报告
CEN Case Rep. 2018 May;7(1):5-8. doi: 10.1007/s13730-017-0279-9. Epub 2017 Nov 1.
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Incidence of A-V Fistulas after Renal Biopsy of Native and Transplanted Kidney - Two Centers Experience.自体肾和移植肾肾活检后动静脉瘘的发生率——两个中心的经验
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5
Wedge Versus Core Biopsy at Time Zero: Which Provides Better Predictive Value for Delayed Graft Function With the Remuzzi Histological Scoring System?零时楔形活检与芯针活检：根据雷穆齐组织学评分系统，哪种活检对移植肾功能延迟具有更好的预测价值？
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Adequacy and complication rates with 14- vs. 16-gauge automated needles in percutaneous renal biopsy of native kidneys.在天然肾经皮肾活检中使用14号与16号自动穿刺针的取材充足率及并发症发生率比较
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Management of postbiopsy arteriovenous fistulas in transplanted kidneys and effectiveness of endovascular treatment: a single-center experience.移植肾活检后动静脉瘘的管理及血管内治疗的有效性：单中心经验
Ann Vasc Surg. 2014 Feb;28(2):452-6. doi: 10.1016/j.avsg.2013.04.022. Epub 2013 Dec 14.
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Is bigger better? A retrospective analysis of native renal biopsies with 16 Gauge versus 18 Gauge automatic needles.是越大越好吗？16 号和 18 号自动活检针进行肾活检的回顾性分析。
Nephrology (Carlton). 2013 Jul;18(7):525-30. doi: 10.1111/nep.12093.
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Bleeding complications of native kidney biopsy: a systematic review and meta-analysis.肾活检后出血并发症：系统评价和荟萃分析。
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