Treatment of post-biopsy arteriovenous fistula of a renal graft by selective embolization [documento electrónico] / José Miguel Hidalgo Oviedo, ; Sergio Álvarez Vallejo, ; Arbey Aristizabal Álzate, ; Gustavo Adolfo Zuluaga Valencia, ; John Fredy Nieto Ríos,  . - 2021.
Obra : Indian Journal of Nephrology

Idioma : Inglés (eng)

Palabras clave :	Arteriovenous fistula  kidney transplantation  graft biopsy  graft rejection  selective embolization
Resumen :	The development of an arteriovenous fistula (AVF) after renal graft biopsy is a rare complication, it is associated in most cases with spontaneous resolution. However, interventional therapies are required in some cases, to prevent graft loss. Selective embolization has been described as an alternative treatment. In the present study, we describes our experience on AVF after biopsy in kidney transplant patients, which was managed with selective embolization. From 2005 to 2015, a total of 452 kidney transplant biopsies were performed, 12 had an AVF requiring embolization. In 92% of cases, this was successful. Beforehand, mean serum creatinine levels were 2.45 mg/dL, after the procedure, that increased to 3.05, however, 3 months later, mean creatinine levels dropped to 1.85 mg/dL. Graft survival after 2 follow-up years was 72%. Our experience demonstrates that selective embolization of the AVF after kidney transplant biopsy is a safe procedure, and that transplant function can be maintained in patients with this complication.
Mención de responsabilidad :	Lina M Serna-Higuita, Monica Zuluaga-Quintero, Jose M Hidalgo-Oviedo, Sergio Alvarez Vallejo, Arbey Aristizabal-Alzate, Gustavo A Zuluaga-Valencia, John F Nieto-Ríos
Referencia :	Indian J Nephrol. Mar-Apr 2021;31(2):201-204.
DOI (Digital Object Identifier) :	10.4103/ijn.IJN_351_19
PMID :	34267449
En línea :	https://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2021;volume=31;is [...]
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