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| 경피적 신생검 후 발생한 동정맥루 치험 1 례 (A Case fo intrarenal ARteiovenous FIstula after Percutaneous Blin Renal Biopsy - Successful Management with Selective Arterial Embolization -) |
| 임영내 , 이승렬 , 배기수 , 이재승 , 서진석 ( Young Nae Yim , Seung Yul Lee , Ki Soo Pai , Jae Seung Lee , Jin Seok Seo ) |
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| Abstract |
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Percutaneous renal biopsy has become an estahlished diagnositic teehnique in the evaluation and follow-up of renal diseases, Although complications are few the increasing use of selective renal angiagraphy has demonstrated an aypreciable incidence of arteriovenous fistula after renal biopsy. In most instances, such fistulas are small, and likely to heal spontaneousIy. Occasionally, however, they can lead to massive hemorrhage, severe hypertension, and deterioration of renal function requiring operative intervention. Treatments are confined to nephrectomy with vascular reconstruction as a surgical procedure or therapeutic embolization as a non-operative one. The authors experienced a case of intrarenal arter- iovenous fistula after percutaneous renal biopsy in 13 year-old male patient. He was presented persistent gross and microscopic hematuria after biopsy. Selective renal angiography revealed a fistula and therapeutic embolization was induced. Here we present an unusual sized arterioveneous fistula after percutaneous renal biopsy treated by thera- peutic emolization with coil and also review of literature, |
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