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肾移植受者左肾自体肾动静脉瘘和假性动脉瘤的延迟表现:一例报告

Delayed PresentationofRenal Arterio-VenousFistula and Pseudoaneurysm in Native Left Kidney in Allograft Recipient: A Case Report.

作者信息

Narkhede Amey, Yadav Ajit, Malik Manish, Kiran Shrestha Manish, Gupta Arun

机构信息

Department of Interventional Radiology, Sir Ganga Ram Hospital, Rajinder Nagar, Delhi, India.

出版信息

JNMA J Nepal Med Assoc. 2019 Aug;57(218):263-265. doi: 10.31729/jnma.4494. Epub 2019 Aug 31.

Abstract

Iatrogenic complications due to renal biopsy majorly include formation of an arterio-venous fistula, pseudoaneurysm or arterio-ureteral fistula. These complications are observed within a span of few days post biopsy and are rare after few years. We reported a case of32-year-old renal allograft recipient male presenting 6 years post biopsy of the left kidney with left lumbar region pain who was eventually diagnosed with arterio-venous fistula and pseudoaneurysm involving inferior interlobular branch of left renal artery. Superselective embolization was achieved using coils and high concentration glue and transient placement of a venous occlusion balloon with complete technical and clinical success.

摘要

肾活检引起的医源性并发症主要包括动静脉瘘、假性动脉瘤或动输尿管瘘的形成。这些并发症在活检后几天内出现,几年后则很少见。我们报告了一例32岁的男性肾移植受者,在左肾活检6年后出现左腰区疼痛,最终被诊断为涉及左肾动脉下小叶间支的动静脉瘘和假性动脉瘤。使用线圈和高浓度胶水实现了超选择性栓塞,并临时放置了静脉闭塞球囊,技术和临床均取得了圆满成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a3/8827526/b60f1d1551cc/JNMA-57-218-272-g1.jpg

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