
Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction. Renal biopsy is a procedure that contributed to the knowledge of kidney disease since 1950. Kidney biopsy is also a diagnostic tool to evaluate renal transplantation and clinical monitoring, as well as, to choose the best treatment. Complications in Renal biopsy were reduced as much as 95% with the use of ultrasound and automatic biopsy needles. Clinical case. We present the case of a young patient, 29 years old, who developed a high flow arteriovenous fistula post renal biopsy, successfully treated by a selective arterial embolization. Discussion. The most frequent complication of kidney biopsies are: perirenal hematoma, macroscopic hematuria, arteriovenous fistula, pseudoaneurysm, urethral obstruction and active hemorr and veins, creating a communication between both vessels. In Hospital de las Fuerzas Armadas N°1, kidney biopsy indications in kidney grafts are: protocol biopsies, kidney grafts evaluation to find graft dysfunction due to humoral or celular rejection and to investigate anticalcineurinic toxicity. Conclusion. Selective renal embolization is a minimally invasive technique and is an alternative for the treatment of the arteriocalicial fistula, thus avoiding nephrectomy
of the renal graft.
Fossaceca R, Guzzardi G, Cerini P, Par- ziale G, Malatesta E, Di Gesù I, Quaglia M, Carriero A. Management of postbiop- sy arteriovenous fistulas in transplanted- kidneys and effectiveness of endovascular treatment: a single-center experience. Ann Vasc Surg. 2014 Feb;28(2):452-6. DOI: 10.1016/j.avsg.2013.04.022. Epub 2013 Dec 14. PubMed PMID: 24342445.
Paredes-Mariñas E, Llort-Pont C, Ma- teos-Torres E, Crespo-Barrio M, Barri- os-Barrera C, Clará-Velasco A. Percu- taneous treatment of an arteriovenous fistula and a pseudoaneurysm after a transplanted kidney biopsy. Nefrologia. 2013;33(5):744-5. DOI: 10.3265/Nefrolo- gia.pre2013.Mar.12012. English, Spanish. PubMed PMID: 24089173.
Bosio A, Lasaponara F, Dalmasso E, Breatta AD, Pasquale G, Sedigh O, Ver- ri A, Negro CL, Alessandria E, Righi D, Segoloni GP, Fontana D. Intraoperative superselective embolization of a biopsy-related arteriocalyceal fistula during a kidney transplantation. Transplantation. 2012 Jul 27;94(2):e12-3. DOI: 10.1097/TP.0b013e31825ace84. PubMed PMID: 22820560.
Kamei K, Ogura M, Miyazaki O, Nosaka S, Ito S. Aneurysmal dilatation associat- ed with arteriovenous fistula in a trans- planted kidney after renal biopsies. Pedi- atr Transplant. 2014 Nov;18(7):E216-9. DOI: 10.1111/petr.12326. Epub 2014 Jul 29. PubMed PMID: 25074612.
Schwarz A, Hiss M, Gwinner W, Becker T, Haller H, Keberle M. Course and rele- vance of arteriovenous fistulas after renal transplant biopsies. Am J Transplant. 2008 Apr;8(4):826-31. DOI: 10.1111/j.1600-6143.2008.02160.x. Epub 2008 Feb 19. PubMed PMID: 18294344.
Yang CY, Lai MY, Lu CL, Tseng HS, Chiou HJ, Yang WC, Ng YY. Timing of Doppler examination for the detection of arteriovenous fistula after percutaneous renal biopsy. J Clin Ultrasound. 2008 Jul-Aug;36(6):377-80. DOI: 10.1002/jcu.20459. PubMed PMID: 18335514.
Martinez T, Palomares M, Bravo JA, Al- varez G, Galindo P, Entrena AG, Osuma A, Asensio C. Biopsy-induced arterio- venous fistula and venous aneurysm in a renaltransplant. Nephrol Dial Transplant. 1998 Nov;13(11):2937-9. PubMed PMID: 9829508.
Lawen JG, Buren CT van, Lewis RM, Kahan BD. Arteriovenous fistulas after renal allograft biopsy: a serious complication in patients beyond one year. Clin Transplantation. 1990;4:357-69.
Lorenzen J, Schneider A, Körner K, Regi- er M, Adam G, Nolte-Ernsting C. Post-bi- opsy arteriovenous fistula in transplant kidney: treatment with superselective transcatheter embolisation. Eur J Radiol. 2012 May;81(5):e721-6. DOI: 10.1016/j. ejrad.2012.01.037. Epub 2012 Mar 13. PubMed PMID: 22417392.
Fernstrom I, Lindblom K. Selective renal biopsy using roentgen television control. J Urol. 1962 Nov;88:709-12. DOI: 10.1016/ S0022-5347(17)64872-9 PubMed PMID: 13944814.
Claudia Tapia-Canelas, Rosa Zometa, María O. LópezOliva, Carlos Jiménez, Begoña Rivas, Fernando Escuin, Laura Yébenes, Rafael Selgas. Complicaciones asociadas a la biopsia de injertos renales en pacientes trasplantados. Nefrologia 2014;34:115-9.
L. Ribera, A. Rodríguez Jornet, J. Falcó* y J. Perendreu*. Fístula arteriovenosa: com- plicación de biopsia renal. Embolización su- praselectiva. Nefrología.2004;14: 372-375
Bilge I, Rozanes I, Acunas B, Minare- ci O, Nayir A, Oktem F, Tonguc Kozok Y, Emre S, Ander H, Sirin A, Poyanli A: Endovascular treatment of arteriovenous fistulas complicating percutaneous renal biopsy in three paediatric cases. Nephrol Dial Transplant 1999;14: 2726-2730.
Bookstein JJ, Goldstein HM: Successful management of post biopsy arteriovenous fistula with selective arterial emboli- zacion. Radiology1973; 109: 535-536.
Dinkel HP, Danuser H, Triller J: Blunt re- nal trauma: minimally invasive management with microcatheter embolization. Experience in nine patients. Radiology 2002; 223: 723-730.
Dinesh K Sundarakumar, Ghazwan M Kroma, Crysela M Smith, Jorge E Lopera, and Rajeev Suri. Embolization of a large high-flow renal arteriovenous fistula using 035” and 018” detachable coils. Indian J Radiol Imaging. 2013; 23: 151–154.
Parrish AE: Complications of percutane- ous renal biopsy: a review of 37 years” experience. Clin Nephrol 1992;38: 135-141.
Ruth EM, Dittrich K, Jungert J, Uder M, Rascher W, Dotsch J. Successful interven- tional treatment of arteriovenous fistula after kidney biopsy in pediatric patients a report of three cases. Nephrol Dial Transplant 2008;23:3215-8.
Breza J Jr, Javorka V Jr, Mizickova M, Goncalves FM, Breza J Sr. Arterio-venous fistula with pseudoaneurysm of renal artery. Bratisl Lek Listy 2012;113(5):289-92.
Jiang WX, Wang HF, Ma J, Han HJ. Arte- riovenous fistula and pseudoaneurysm as complications of renal biopsy treated with percutaneous intervention. Chin Med J (Engl) 2010;123(19):2736-8
The authors who publish in this journal accept the following conditions:
1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.
2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.