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.
Cite this paper
Ahmed, O. (2014). Arteriovenous Fistula Complicating Transjugular Renal Biopsy. Open Access Library Journal, 1, e428. doi: http://dx.doi.org/10.4236/oalib.1100428.
Schmid, A., Jacobi, J., Kuefner, M.A., Lell, M., Wuest, W., Mayer-Kadner, I., Benz, K., Schmid, M., Amann, K. and Uder, M. (2013) Transvenous Renal Transplant Biopsy via a Transfemoral Approach. American Journal of Transplantation, 13, 1262-1271. http://dx.doi.org/10.1111/ajt.12199
Sarabu, N., Maddaukuri, G., Munikrishnappa, D., Martin, K.J., Qazi, R.A., Alvarez, A. and Schmitz, P.G. (2010) Safety and Efficacy of Transjugular Renal Bipsy Performed by Interventional Nephrologists. Seminars in Dialysis, 24, 343-348. http://dx.doi.org/10.1111/j.1525-139X.2010.00762.x
Levi, I.M., Ben-Dov, I., Klimov, A., Pizov, G. and Bloom, A.I. (2011) Transjugular Kidney Biopsy: Enabling Safe Tissue Diagnosis in High Risk Patients. Israel Medical Association Journal, 13, 425-427.
Fine, D.M., Arepally, A., Hofmann, L.V., Mankowitz, S.G. and Atta, M.G. (2004) Diagnostic Utility and Safety of Transjugular Kidney Biopsy in the Obese Patient. Nephrology Dialysis Transplantation, 19, 1798-1802. http://dx.doi.org/10.1093/ndt/gfh246
Sofocleous, C.T., Bahramipour, P., Mele, C., Hinrichs, C.R., Barone, A. and Abujudeh, H. (2002) Transvenous Transjugular Renal Core Biopsy with a Redesigned Biopsy Set Including a Blunt-Tipped Needle. CardioVascular and Interventional Radiology, 25, 155-157. http://dx.doi.org/10.1007/s00270-001-0093-8
See, T.C., Thompson, B.C., Howie, A.J., Karamshi, M., Papadopoulou, A.M., Davies, N. and Tibballs, J. (2008) Transjugular Renal Biopsy: Our Experience and Technical Considerations. CardioVascular and Interventional Radio- logy, 31, 906-918. http://dx.doi.org/10.1007/s00270-008-9308-6
Schwarz, A., Hiss, M., Gwinner, W., Becker, T., Haller, H. and Keberle, M. (2008) Course and Relevance of Arteriovenous Fistulas after Renal Transplant Biopsies. American Journal of Transplantation, 8, 826-831. http://dx.doi.org/10.1111/j.1600-6143.2008.02160.x
