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This video shows the novel treatment of a post renal biopsy haemorrhage with percutaneous thrombin injection.
The patient bled immediatley post biopsy and ultrasound showed a rapidly expanding haematoma. Given this observation it is difficult not to take action although this may have settled conservatively. We know that percutaneous thrombin injection is safe and we have been using this treatment in our centre for pseudoaneurysms since 1996. A percutaneous injection was an easy option that clearly solved the problem without the need for angiography.
Dr Phil Haslam, Consultant Interventional Radiologist
Dr Andy McNeill, Consultant Radiologist
Dr Kiran Bonam, Specialist Registrar Radiology
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Dear reader,
It seems an interesting technique. Where did you place the needle and the thrombin? In the subcapsular renal space?
With regards,
Lars Kaufmann (Hoofddorp, the Netherlands)