Arteriovenous Fistula Complicating Transjugular Renal Biopsy

Osman Ahmed

University of Chicago Medicine, Chicago, USA.

DOI: 10.4236/oalib.1100428                

Abstract

Percutaneous renal biopsy with sonographic guidance is the standard by which renal tissue is sampled. In patients with uncorrectable coagulopathy or other contra-indication, percutaneous biopsy may not be feasible and a transvenous approach is preferred. This method limits the risk of bleeding complications as tissue is obtained endovascularly without transgression of the renal capsule. Arteriovenous fistula (AVF), a well-documented complication of percutaneous biopsy, has yet to be reported when done from a transvenous route. This report describes a case of iatrogenic arteriovenous fistula following transjugular renal biopsy necessitating selective arterial embolization. Clinical features are reviewed in addition to spot fluoroscopic images from transarterial coil embolization of the AVF.

Keywords

Biopsy, Renal, Transjugular Kidney Biopsy

Conflicts of Interest

The authors declare no conflicts of interest.

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