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动静脉瘘:经皮肾穿刺造瘘术后罕见并发症病例及简要综述

Arteriovenous Fistula: The Case of a Rare Complication after Minimal Percutaneous Nephrostomy and Brief Review.

作者信息

Dănău Răzvan Alexandru, Petca Răzvan-Cosmin, Constantin Traian Vasile, Petca Aida, Predoiu Gabriel, Jinga Viorel

机构信息

Department of Urology, "Carol Davila" University of Medicine and Pharmacy, 8 Eroii Sanitari Blvd., 050474 Bucharest, Romania.

Department of Urology, "Prof. Dr. Th. Burghele" Clinical Hospital, 20 Panduri str., 050659 Bucharest, Romania.

出版信息

Diagnostics (Basel). 2024 May 28;14(11):1121. doi: 10.3390/diagnostics14111121.

Abstract

Percutaneous renal surgery, although much less invasive than other procedures, is subject to several complications, which can occur at any time during the course of treatment, starting from the performance of the minimal nephrostomy procedure. We present an extremely rare vascular complication of percutaneous nephrostomy represented by arteriovenous fistula that occurred in a 24-year-old patient known to have right ureteropelvic junction obstruction operated with the absence of double-J catheter permeability and grade II-III hydronephrosis for which minimal percutaneous nephrostomy was urgently fitted. The arteriovenous fistula was resolved by supraselective artery embolization.

摘要

经皮肾手术虽然比其他手术侵入性小得多,但仍会出现多种并发症,这些并发症可在治疗过程中的任何时候发生,从实施微创肾造瘘术开始。我们报告了一例经皮肾造瘘术极为罕见的血管并发症,表现为动静脉瘘,该病例发生在一名24岁患者身上,该患者已知患有右侧输尿管肾盂连接部梗阻,在双J导管不通畅且存在II - III级肾积水的情况下接受手术,为此紧急实施了微创经皮肾造瘘术。动静脉瘘通过超选择性动脉栓塞得以解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49a5/11172139/12bd69eace42/diagnostics-14-01121-g001.jpg

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