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      Life-Threatening Hematuria from an Arteriovenous Fistula Complicating an Open Renal Biopsy

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          Abstract

          Arteriovenous fistulae and pseudoaneurysms are not rare after renal biopsy. The majority of these lesions (80%) are asymptomatic or show only transient symptoms. We present here a patient who developed life-threatening hematuria following an open renal biopsy. Arteriovenous fistula and pseudoaneurysm were detected in the biopsied kidney by color-coded Doppler sonography, confirmed by angiography, and the fistula was sealed by superselective arterial embolization with metallic coils. Color-coded Doppler sonography successfully detects the majority of arteriovenous fistulae after renal biopsy, and selective arterial embolization obviates the need for surgical intervention in most cases.

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          Most cited references1

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          A successful treatment of an intrarenal arteriovenous fistula by percutaneous embolization

          J Winkler (1991)
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            Author and article information

            Journal
            NEF
            Nephron
            10.1159/issn.1660-8151
            Nephron
            S. Karger AG
            1660-8151
            2235-3186
            1998
            September 1998
            04 September 1998
            : 80
            : 1
            : 66-70
            Affiliations
            a Divisions of Nephrology, Cook County Hospital and the University of Illinois College of Medicine, b Department of Radiology, Cook County Hospital, and c The Hektoen Institute for Medical Reseach, Chicago, Ill., USA
            Article
            45129 Nephron 1998;80:66–70
            10.1159/000045129
            9730707
            89a52d1e-387e-4d63-b2ed-e7863a2d24da
            © 1998 S. Karger AG, Basel

            Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

            History
            Page count
            Figures: 2, Tables: 2, References: 30, Pages: 5
            Categories
            Case Report

            Cardiovascular Medicine,Nephrology
            Arteriovenous fistula, renal biopsy,Hematuria,Superselective embolization

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