Salahudeen A K, Sellars L, Murthy L N, Francis D M, Donnelly P K, Hawkins T, Wilkinson R
Nephron. 1984;37(1):64-5. doi: 10.1159/000183211.
A percutaneous allograft biopsy in a renal transplant recipient with declining function was followed by haemorrhage from the external iliac artery requiring repair of the puncture site. A common iliac arteriogram performed subsequently showed an external iliac arteriovenous fistula. In retrospect, an isotope scan performed at 48 h post-transplant, showed the upper pole of the graft overlying the iliac vessels. To avoid such complications we recommend a careful assessment of the anatomical relationships of the transplant kidney to major blood vessels prior to biopsy.
一名肾功能逐渐下降的肾移植受者进行了经皮同种异体移植肾活检，随后出现髂外动脉出血，需要修复穿刺部位。随后进行的髂总动脉造影显示存在髂外动静脉瘘。回顾性分析发现，移植后48小时进行的同位素扫描显示移植肾的上极覆盖在髂血管上方。为避免此类并发症，我们建议在活检前仔细评估移植肾与主要血管的解剖关系。
