Asunto(s)
Aneurisma Falso/cirugía , Aneurisma Infectado/cirugía , Implantación de Prótesis Vascular , Procedimientos Endovasculares , Trasplante de Hígado/efectos adversos , Aneurisma Falso/diagnóstico por imagen , Aneurisma Falso/microbiología , Aneurisma Infectado/diagnóstico por imagen , Aneurisma Infectado/microbiología , Femenino , Humanos , Persona de Mediana Edad , Reoperación , Resultado del TratamientoRESUMEN
Patients on haemodialysis are susceptible for central vein occlusions, which can result in debilitating clinical consequences. These may be resistant to conventional revascularization with guidewire and catheter technique. Value-driven sharp recanalization of central vein occlusion is depicted as a safe and affordable option.
Asunto(s)
Derivación Arteriovenosa Quirúrgica/efectos adversos , Venas Braquiocefálicas/cirugía , Cateterismo Venoso Central/métodos , Complicaciones Posoperatorias/cirugía , Enfermedades Vasculares/cirugía , Venas Braquiocefálicas/patología , Cateterismo Venoso Central/instrumentación , Humanos , Masculino , Persona de Mediana Edad , Agujas , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/patología , Diálisis Renal , Stents , Enfermedades Vasculares/etiología , Enfermedades Vasculares/patologíaRESUMEN
Injuries to extrarenal arteries caused by percutaneous biopsy needles are very rare but highly lethal due to delay in recognition. Here we report the case of an inadvertent lumbar artery puncture after native renal biopsy and provide a literature review and a proposed workflow for management of massive bleed after renal biopsy. This case highlights evidence-based management considerations regarding massive bleed after renal biopsy, including the first-line imaging modality and the need to consider extrarenal site bleed. While angiographic embolization is an effective method of control of haemorrhage, surgical exploration is required in a proportion of cases for control of bleeding. Centre-specific workflows should be adopted to minimize the mortality and morbidity associated with massive bleed after renal biopsy.