Lumbar Artery Embolization for Control of Bleeding after Percutaneous Renal Biopsy (original) (raw)
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Successful Management of a Rare Complication After Percutaneous Native Renal Biopsy
Journal of Medical Cases, 2015
Percutaneous renal biopsy is presumed to be a relatively safe procedure that is routinely performed to help in the diagnosis, prognosis and treatment of various renal parenchymal diseases. It is widely performed by interventional nephrologists and radiologists for certain indications. Here, we report a young man who developed a significant retroperitoneal hematoma and active bleeding due to left 12th intercostal artery injury after a native renal biopsy, with a concomitant renal segmental artery pseudoaneurysm. The bleeding was successfully treated by selective transcatheter arterial embolization with coils.
Delayed Bleeding as a Complication of Kidney Biopsy
World Journal of Nephrology and Urology, 2012
We report the case of a 60 years old female treated because of fluid lung under the presumption of acute oliguric renal failure in decompensated diabetic nephropathy with dialysis via a central venous line. Normal creatinine test results before admission were the reason for further diagnostics. Positive P-ANCA and Anti-MPO-Antibodies and the result of the renal biopsy proved the diagnosis of a renal limited microscopic polyangiitis. An immunosuppressive therapy with methylprednisolone and cyclophosphamide was initiated and a course of plasma exchange with substitution of ringer- albumin 5%- solution was started. Four days after biopsy a clinical deterioration occurred. The sonography image showed no clear result - an after that performed CT scan confirmed the diagnosis of an acute retroperitoneal bleeding. We recommend in these cases a partial or complete use of fresh frozen plasma as substitution fluid for plasma exchange and under suspicion of retroperitoneal bleeding a CT scan as...
Turkish Nephrology Dialysis Transplantation, 2013
The aim of this study was to evaluate the safety of 16 G automated biopsy needles, and the incidence of AVF and pseudoaneurysm in patients undergoing renal biopsy. MATERIAL and METHODS: Patients who underwent renal biopsy from January 2010 to December 2012 were prospectively evaluated. Color Doppler USG, hemoglobin and platelet counts, spot urine analysis were performed perormed before and after the biopsy procedure, AVF and pseudoaneurysm that developed secondary to percutaneous renal biopsy were evaluated by Doppler USG at 12 h, and 24 h, and 6 and 12 months after biopsy. RESULTS: Postbiopsy small perirenal, subcapsular, or parenchymal bleeding without clinical relevance were detected in 59 patients (89.2 %) 12 and 24 hours after procedure. RBC counts per high power fi eld increased signifi cantly after the procedure in all subjects (p<0.05). Signifi cant retroperitoneal bleeding, macroscopic hematuria, arteriovenous malformation, and pseudoaneurysm were not detected in our cohort. Glomeruli counts were acceptable in all subjects. CONCLUSION: To optimize safety, patient comfort, and diagnostic yield, a 16 G automated biopsy needle with real-time U/S guidance may be prefered as the standard approach.
BMC Nephrology
Background Performing percutaneous renal biopsy procedures in lupus nephritis (LN) and nephrotic syndrome presents a unique challenge to the nephrologist because of the risk of bleeding from the procedure and the hypercoagulable state in hypoalbuminemia. The management of a patient with venous thrombosis with perinephric hematoma post renal biopsy can be difficult if occurred. Case presentation We are presenting a case of perinephric hematoma following percutaneous renal biopsy in a 23-year-old man with lupus nephritis, nephrotic syndrome, and lower limbs deep vein thrombosis (DVT). The patient developed persistent frank haematuria, flank pain and acute urinary retention post-procedure. We have withheld his oral warfarin three days before the procedure, and no anticoagulation was given subsequently. Initial CT Angiography (CTA) renal showing stable hematoma and no visible evidence of vascular injury. Three weeks later, the patient still has persistent frank haematuria and a repeated...