Int J Angiol 2024; 33(03): 198-201
DOI: 10.1055/s-0043-1777256
Case Report

Successful Endovascular Treatment of Postbiopsy AVF in Transplanted Kidneys: Lessons Learned from Two Cases in Multiorgan Transplant Recipients

Sven Želalić*
1   Department of Radiology, University Hospital Merkur, Zagreb, Croatia
,
Bojana Šimunov*
2   Department of Nephrology, University Hospital Merkur, Zagreb, Croatia
,
Bojana Maksimović
2   Department of Nephrology, University Hospital Merkur, Zagreb, Croatia
4   University of Zagreb School of Medicine, Zagreb, Croatia
,
Rea Mužar
3   Department of Plastic, Reconstructive and Aesthetic Surgery, Clinical Hospital Dubrava, Zagreb, Croatia
,
Mario Laganović
2   Department of Nephrology, University Hospital Merkur, Zagreb, Croatia
,
Vinko Vidjak
1   Department of Radiology, University Hospital Merkur, Zagreb, Croatia
4   University of Zagreb School of Medicine, Zagreb, Croatia
› Author Affiliations

Abstract

Allograft biopsy is a cornerstone in the management of transplanted kidneys. It is a safe procedure, often performed in the outpatient setting. A rare complication is formation of a postbiopsy arteriovenous fistula (AVF). We present here a report of two cases of postbiopsy AVFs treated endovascularly. Selective embolization is a safe and effective method of treatment of postbiopsy AVFs in renal allografts.

* Equal contribution first authors




Publication History

Article published online:
27 November 2023

© 2023. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Cameron JS, Hicks J. The introduction of renal biopsy into nephrology from 1901 to 1961: a paradigm of the forming of nephrology by technology. Am J Nephrol 1997; 17 (3-4): 347-358
  • 2 Richards NT, Darby S, Howie AJ, Adu D, Michael J. Knowledge of renal histology alters patient management in over 40% of cases. Nephrol Dial Transplant 1994; 9 (09) 1255-1259
  • 3 Luciano RL, Moeckel GW. Update on the native kidney biopsy: core curriculum 2019. Am J Kidney Dis 2019; 73 (03) 404-415
  • 4 Fossaceca R, Guzzardi G, Cerini P. et al. Management of postbiopsy arteriovenous fistulas in transplanted kidneys and effectiveness of endovascular treatment: a single-center experience. Ann Vasc Surg 2014; 28 (02) 452-456
  • 5 Corapi KM, Chen JL, Balk EM, Gordon CE. Bleeding complications of native kidney biopsy: a systematic review and meta-analysis. Am J Kidney Dis 2012; 60 (01) 62-73
  • 6 Korbet SM, Volpini KC, Whittier WL. Percutaneous renal biopsy of native kidneys: a single-center experience of 1,055 biopsies. Am J Nephrol 2014; 39 (02) 153-162
  • 7 Tøndel C, Vikse BE, Bostad L, Svarstad E. Safety and complications of percutaneous kidney biopsies in 715 children and 8573 adults in Norway 1988-2010. Clin J Am Soc Nephrol 2012; 7 (10) 1591-1597
  • 8 Ho QY, Lim CC, Tan HZ, Sultana R, Kee T, Htay H. Complications of percutaneous kidney allograft biopsy: systematic review and meta-analysis. Transplantation 2022; 106 (07) 1497-1506
  • 9 Loffroy R, Guiu B, Lambert A. et al. Management of post-biopsy renal allograft arteriovenous fistulas with selective arterial embolization: immediate and long-term outcomes. Clin Radiol 2008; 63 (06) 657-665
  • 10 Ffrench-Constant S, Weerakoon N, Amin R, Dixon L, Taube D, Hamady M. Dual-balloon assisted super-selective embolisation of high flow arterial venous fistula within a transplant kidney. CVIR Endovasc 2018; 1 (01) 21
  • 11 Castellano D, Boghi A, Comelli C, Di Maggio L, Savio D. Use of a 4 mm Amplatzer Vascular Plug II in the treatment of a renal arteriovenous fistula: a case report. CVIR Endovasc 2021; 4 (01) 40
  • 12 Burch B, Tucker S. Successful embolization of a renal arteriovenous fistula; a feared kidney biopsy complication. Radiol Case Rep 2021; 16 (11) 3182-3185
  • 13 Becker LS, Hinrichs JB. Fogarty-assisted transcatheter embolization of a large renal high-flow arteriovenous fistula. CVIR Endovasc 2022; 5 (01) 19
  • 14 Grenier N, Petitpierre F, Le Bras Y, Lasserre AS, Cornelis F. Renal embolization. Nephrol Ther 2016; 12 (Suppl. 01) S139-S143
  • 15 Guo H, Wang C, Yang M. et al. Management of iatrogenic renal arteriovenous fistula and renal arterial pseudoaneurysm by transarterial embolization: a single center analysis and outcomes. Medicine (Baltimore) 2017; 96 (40) e8187
  • 16 Lorenzen J, Schneider A, Körner K, Regier M, Adam G, Nolte-Ernsting C. Post-biopsy arteriovenous fistula in transplant kidney: treatment with superselective transcatheter embolisation. Eur J Radiol 2012; 81 (05) e721-e726