Improvement of renal functions after embolization of renal AVF in a patient who had been on dialysis for 5 years.
Recently, ultrasound-guided percutaneous renal biopsy has been used in the diagnosis of renal diseases. Development of an arteriovenous fistula (AVF), which is one of the post-biopsy complications, is not frequently encountered. AVFs are usually asymptomatic; however, they may lead to serious outcomes. We report a 21-year-old patient, who had been on dialysis for 5 years. Due to high blood pressure (230/160 mmHg) and a thrill in the lumbar area detected on physical examination, Doppler examination was performed and a renal AVF was detected. Because the patient had a history of renal biopsy 5 years previously, the fistula was thought to be secondary to the biopsy. After embolization of the AVF, renal functions improved enough to terminate dialysis treatment.
Ulusoy
Sükrü
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Department of Nephrology, Karadeniz Technical University, School of Medicine, Tıp Fakültesi, Nefroloji Bilim Dalı, 61080 Trabzon, Turkey. sulusoy2002@yahoo.com
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Dinç
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Oztürk
Mehmet Halil
MH
Gül
Semih
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Safiye Tuba
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D000792:Angiography; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000628:therapy*; D001706:Biopsy / Q000009:adverse effects; D004621:Embolization, Therapeutic; D006801:Humans; D007677:Kidney Function Tests; D008297:Male; D012077:Renal Artery / Q000293:injuries*; D006435:Renal Dialysis; D012082:Renal Veins / Q000293:injuries*; D018608:Ultrasonography, Doppler; D018084:Ultrasonography, Interventional; D055815:Young Adult