Acute Renal Failure in a Renal Allograft Recipient Caused by a Post-Biopsy Renal Arteriovenous Fistula with Transplant Renal Artery Stenosis.
10.4285/jkstn.2012.26.4.287
- Author:
Jin Ho LEE
1
;
Hee Ryong LEE
;
Seung Ho CHOI
;
Peel JUNG
;
Joon Seok OH
;
Seung Min KIM
;
Yong Hun SIN
;
Yeon Soon JUNG
;
Gyoo Sik JUNG
;
Joong Kyung KIM
Author Information
1. Department of Internal Medicine, Bong Seng Memorial Hospital, Busan, Korea. kidney119@hotmail.com
- Publication Type:Case Report
- Keywords:
Renal biopsy of the transplanted kidney;
Arteriovenous fistula;
Transplant renal artery stenosis;
Acute renal failure
- MeSH:
Acute Kidney Injury;
Angioplasty;
Arteriovenous Fistula;
Biopsy;
Female;
Hematuria;
Humans;
Hypertension;
Kidney;
Rejection (Psychology);
Renal Artery;
Renal Artery Obstruction;
Renal Insufficiency;
Stents;
Transplantation, Homologous;
Transplants
- From:The Journal of the Korean Society for Transplantation
2012;26(4):287-292
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Renal biopsy is an essential diagnostic tool for detecting acute and chronic kidney rejection as well as recurrent and de novo nephropathies in renal allograft recipients. However, a well-known complication of percutaneous renal biopsy is arteriovenous fistula (AVF). Most post-biopsy AVFs are asymptomatic and regress spontaneously but some AVFs result in hypertension, hematuria, and renal insufficiency. Whether post-biopsy AVF superimposed on transplant renal artery stenosis (TRAS) also regresses spontaneously is unknown. We present a case of acute renal insufficiency in a 51-year-old female renal allograft recipient with post-biopsy AVF and TRAS. Percutaneous angioplasty with stent implantation was performed for the TRAS and transcatheter arterial coil embolization therapy applied for AVF. The patient's renal function returned to baseline levels and is currently being followed up for 6 months.
