• JNMA J Nepal Med Assoc · Jul 2019

    Case Reports

    Delayed Presentation of Renal Arterio-Venous Fistula and Pseudoaneurysm in Native Left Kidney in Allograft Recipient: A Case Report.

    • Amey Narkhede, Ajit Yadav, Manish Malik, Manish Kiran Shrestha, and Arun Gupta.
    • Department of Interventional Radiology, Sir Ganga Ram Hospital, Rajinder Nagar, Delhi, India.
    • JNMA J Nepal Med Assoc. 2019 Jul 1; 57 (218): 272-274.

    AbstractIatrogenic 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 of 32-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. Keywords: renal arterio-venous fistula; renal biopsy; renal pseudoaneurysm.

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