title: Percutaneous perirenal thrombin injection for the treatment of acute hemorrhage after renal biopsy.
abstract: Percutaneous renal biopsy is a valuable diagnostic approach. While commonly safe, it is not without risk and the most feared vascular complications include hemorrhage, pseudoaneurysm, and arteriovenous fistula formation. We report a case of acute hemorrhage after renal biopsy that was immediately identified by ultrasonography and successfully treated with percutaneous perirenal thrombin injection. This technique may prove a useful addition to the armamentarium of any operator performing renal biopsies.
authors.affiliation: Department of Radiology, Freeman Hospital, High Heaton, UK. Sebastian.Mafeld@gmail.com.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Mafeld
authors.forename: Michael
authors.initials: M
authors.lastname: McNeill
authors.forename: Philip
authors.initials: P
authors.lastname: Haslam
mesh_terms: D000368:Aged; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D061705:Image-Guided Biopsy / Q000009:adverse effects*; D007267:Injections; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology*; D008297:Male; D013917:Thrombin / Q000008:administration & dosage*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods
chemical_list: D013917:Thrombin
references.citation: Cardiovasc Intervent Radiol. 2000 Nov-Dec;23(6):441-6
references.pmid: 11232891
references.citation: Br J Radiol. 2001 Aug;74(884):690-4
references.pmid: 11511492
references.citation: Clin J Am Soc Nephrol. 2012 Oct;7(10):1591-7
references.pmid: 22837269
references.citation: J Vasc Surg. 2014 Jun;59(6):1664-9
references.pmid: 24560862
references.citation: AJR Am J Roentgenol. 1986 Aug;147(2):383-7
references.pmid: 3487958
references.citation: Am J Nephrol. 2014;39(2):153-62
references.pmid: 24526094
references.citation: Catheter Cardiovasc Interv. 2012 Nov 15;80(6):1025-32
references.pmid: 23024065
references.citation: Nephrol Dial Transplant. 2009 Aug;24(8):2433-9
references.pmid: 19246472
references.citation: J Clin Ultrasound. 2014 Jan;42(1):24-6
references.pmid: 24151057
references.citation: Expert Opin Biol Ther. 2014 Jun;14(6):821-30
references.pmid: 24625330
references.citation: J Vasc Surg. 2012 Oct;56(4):965-72
references.pmid: 22727839
references.citation: Br J Radiol. 1998 Dec;71(852):1255-9
references.pmid: 10318997
references.citation: World J Gastroenterol. 2012 Nov 7;18(41):5912-7
references.pmid: 23139607
references.citation: Radiol Med. 2014 Apr;119(4):261-8
references.pmid: 24297586
references.citation: World J Nephrol. 2014 Nov 6;3(4):287-94
references.pmid: 25374824