Treatment of an extracapsular post-renal biopsy pseudoaneurysm with ultrasound-guided thrombin injection.
Percutaneous renal biopsy is a convenient method to obtain allograft tissue for histologic evaluation. Vascular complications, such as arteriovenous (AV) fistula and pseudoaneurysm, following renal biopsy are well known, and they usually resolve without further intervention. When symptomatic, they should be treated. We present a patient on chronic anticoagulation who developed a pseudoaneurysm after percutaneous renal biopsy. Applying techniques learned in the management of femoral artery pseudoaneurysm, we treated our patient with ultrasound-guided thrombin injection.
Department of Surgery, Division of Transplantation, University of Louisville, Ambulatory Care Building, 2nd Floor, Louisville, KY 40292, USA.
Mary
M
Eng
Thomas E
TE
Vaughan
Danny
D
Woo
Joseph F
JF
Buell
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D001706:Biopsy / Q000009:adverse effects; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D007668:Kidney / Q000473:pathology*; D008297:Male; D013917:Thrombin / Q000627:therapeutic use*; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D018084:Ultrasonography, Interventional / Q000379:methods*
D006490:Hemostatics; D013917:Thrombin