TY - JOUR
T1 - Massive Hematuria Following Percutaneous Biopsy of Renal Allograft
T2 - Successful Control by Selective Embolization
AU - Horowitz, Michael D.
AU - Russell, Edward
AU - Abitbol, Carolyn
AU - Kyriakides, George
AU - Miller, Joshua
PY - 1984/12
Y1 - 1984/12
N2 - We report on a patient who underwent a percutaneous needle biospy of a renal allograft for evaluation of compromised function. Gross hematuria occurred immediately and persisted for those weeks, interrupted only by long intervals of anuria due to obstruction by a clot. The bleeding was controlled successfully by selective transcatheter embolization with a coil and an absorbable gelatin sponge (Gelfoam). The technique and complications of allograft biopsy procedures are reviewed, and the management of hematuria occurring after a percutaneous needle biopsy is discussed. A percutenous needle biospy is the preferred method of sampling the transplanted kidney, with an adequate specimen obtained in 96% of case. Hematuria, that has been reported to complicate 7% of percutaneous biopsy procedures, is usually transient, and only rarely is intervention required. Angiographically directed selective embolization is an effective technique for controlling massive or prolonged urinary hemorrhage after renal allograft biopsy.
AB - We report on a patient who underwent a percutaneous needle biospy of a renal allograft for evaluation of compromised function. Gross hematuria occurred immediately and persisted for those weeks, interrupted only by long intervals of anuria due to obstruction by a clot. The bleeding was controlled successfully by selective transcatheter embolization with a coil and an absorbable gelatin sponge (Gelfoam). The technique and complications of allograft biopsy procedures are reviewed, and the management of hematuria occurring after a percutaneous needle biopsy is discussed. A percutenous needle biospy is the preferred method of sampling the transplanted kidney, with an adequate specimen obtained in 96% of case. Hematuria, that has been reported to complicate 7% of percutaneous biopsy procedures, is usually transient, and only rarely is intervention required. Angiographically directed selective embolization is an effective technique for controlling massive or prolonged urinary hemorrhage after renal allograft biopsy.
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U2 - 10.1001/archsurg.1984.01390240068012
DO - 10.1001/archsurg.1984.01390240068012
M3 - Article
C2 - 6391421
AN - SCOPUS:0021705703
VL - 119
SP - 1430
EP - 1433
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 12
ER -