Risk Factors for Severe Bleeding Complications in Percutaneous Renal Biopsy

2017 ◽  
Vol 353 (3) ◽  
pp. 230-235 ◽  
Author(s):  
Da-min Xu ◽  
Min Chen ◽  
Fu-de Zhou ◽  
Ming-hui Zhao
Keyword(s):  
Risk Factors ◽  
Renal Biopsy ◽  
Bleeding Complications ◽  
Severe Bleeding ◽  
Percutaneous Renal Biopsy

scholarly journals Complications of Percutaneous Renal Biopsy

2019 ◽  
Vol 36 (02) ◽  
pp. 097-103
Author(s):  
Kenaz Bakdash ◽  
Kristofer M. Schramm ◽  
Aparna Annam ◽  
Matthew Brown ◽  
Kimi Kondo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Biopsy ◽  
Bleeding Complications ◽  
Modifiable Risk Factors ◽  
Delayed Presentation ◽  
Histologic Diagnosis ◽  
Poor Renal Function ◽  
Percutaneous Renal Biopsy ◽  
Risk Patients

AbstractPercutaneous renal biopsy is widely used for diagnosis, prognosis, and management of nephropathies. Complications may arise after renal biopsy, most commonly in the form of bleeding. Efforts should be taken to optimize modifiable risk factors such as hypertension, thrombocytopenia, and coagulopathy prior to the procedure. Unmodifiable risk factors such as poor renal function, gender, and underlying histologic diagnosis may be used to identify high-risk patients. Delayed presentation of bleeding complications is common, and close clinical follow-up is crucial.

Risk factors for bleeding complications in percutaneous renal biopsy

2005 ◽  
Vol 9 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Masaaki Eiro ◽  
Tetsuo Katoh ◽  
Tsuyoshi Watanabe
Keyword(s):  
Risk Factors ◽  
Renal Biopsy ◽  
Bleeding Complications ◽  
Percutaneous Renal Biopsy

scholarly journals Percutaneous renal biopsy of native kidneys: efficiency, safety and risk factors associated with major complications

2011 ◽  
Vol 5 ◽  
pp. 823-831 ◽  
Author(s):  
Abel Torres Muňoz ◽  
Rafael Valdez-Ortiz ◽  
Carlos González-Parra ◽  
Elvy Espinoza-Dávila ◽  
Luis E. Morales-Buenrostro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Biopsy ◽  
Factors Associated ◽  
Percutaneous Renal Biopsy ◽  
Major Complications

scholarly journals Life-Threatening Complications Following Percutaneous Ultrasound-Guided Renal Biopsy: a Rare Case Report

10.3823/2292 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Yuan-Hung Lo ◽  
Po-Jen Hsiao ◽  
Szu-Han Chiu ◽  
Kun-Lin Wu ◽  
Che-Fu Chang ◽  
...  
Keyword(s):  
Renal Biopsy ◽  
Hypovolemic Shock ◽  
Bleeding Complications ◽  
Ultrasound Guided ◽  
Basic Tool ◽  
Gross Hematuria ◽  
Percutaneous Renal Biopsy ◽  
Major Complications ◽  
Rare Case Report ◽  
Life Threatening

Ultrasound-guided percutaneous renal biopsy has been a basic tool for the diagnosis of kidney disease, but minor and major complications cannot be completely avoided. Major complications including gross hematuria, renal hematoma and arteriovenous fistula, and usually develop within 24 hours after renal biopsy. We present an educational case of female having major bleeding complications after renal biopsy with unusual clinical courses. The patient developed hypovolemic shock at 48 hours after renal biopsy along with perirenal hematoma and hemothorax.   The case highlight the need to remain the major complications in mind for physicians. Key words: Hemothorax, renal biopsy.

scholarly journals The efficacy of blind versus real-time ultrasound-guided percutaneous renal biopsy in developing country

2019 ◽  
Vol 7 ◽  
pp. 205031211984977 ◽  
Author(s):  
Wanjak Pongsittisak ◽  
Naphat Wutilertcharoenwong ◽  
Tanun Ngamvichchukorn ◽  
Sathit Kurathong ◽  
Chutima Chavanisakun ◽  
...  
Keyword(s):  
Renal Biopsy ◽  
Real Time ◽  
Resource Constraint ◽  
Bleeding Complications ◽  
Ultrasound Guided ◽  
Biopsy Needle ◽  
Percutaneous Renal Biopsy ◽  
Renal Biopsies ◽  
Lower Egfr ◽  
Adequate Tissue

Introduction: Renal biopsy is a useful diagnostic procedure. In developing countries, two techniques of renal biopsy, blind percutaneous renal biopsy and real-time ultrasound-guided percutaneous renal biopsy, have been performed. The majority of studies compared these using different types and sizes of biopsy needle. The aim of this study was to compare both techniques in resource constraint country. Method: We reviewed renal biopsy database, between 1 January 2014 to 30 June 2017. The primary outcome was the total number of glomeruli. The other outcomes were tissue adequacy and bleeding complications. We also analyzed multivariable logistic regression to find factors associated with tissue adequacy and bleeding complications. Result: Of the 204 renal biopsies, 100 were blind percutaneous renal biopsy and 104 real-time ultrasound-guided percutaneous renal biopsy. The number of native renal biopsies was 169 (82.8%). Baseline characteristics of two groups were comparable. The mean number of total glomeruli from real-time ultrasound-guided percutaneous renal biopsy was significantly more than blind percutaneous renal biopsy (20.8 ± 12.1 vs 16.0 ± 13.0, p = 0.001). The real-time ultrasound-guided percutaneous renal biopsy obtained more adequate tissues than blind percutaneous renal biopsy (45.2% vs 16%, p < 0.001) and was the only factor associated with adequate tissue. Moreover, 16 renal biopsies from blind percutaneous renal biopsy obtained inadequate tissue. The overall bleeding complications were not statistically different. We found being female, lower eGFR and lower hematocrit were associated with bleeding complications. Conclusion: In comparison with blind percutaneous renal biopsy, real-time ultrasound-guided percutaneous renal biopsy obtained more adequate tissue and number of glomeruli. While the complications of both were comparable. We encourage to practice and perform real-time ultrasound-guided percutaneous renal biopsy in resource constraint countries.

scholarly journals Percutaneous Renal Biopsy: Comparison of Blind and Real-time Ultrasound Guided Technique

2018 ◽  
Vol 16 (1) ◽  
pp. 66-72 ◽  
Author(s):  
Anil Pokhrel ◽  
Rajendra Kumar Agrawal ◽  
Anil Baral ◽  
Ajaya Rajbhandari ◽  
Rajani Hada
Keyword(s):  
Renal Biopsy ◽  
Real Time ◽  
Randomized Study ◽  
Bleeding Complications ◽  
Renal Diseases ◽  
Ultrasound Guided ◽  
Macroscopic Hematuria ◽  
Percutaneous Renal Biopsy ◽  
Significant Difference ◽  
Perinephric Hematoma

Background: Percutaneous renal biopsy is performed for diagnosis and prediction of prognosis of renal diseases. Adequacy of tissue and clinically significant bleeding are the main issues of the procedure. We aimed to compare these issues in renal biopsy by blind and real time ultrasound guided technique.Methods: It was a cross sectional, randomized study conducted between June 2016 to December 2016. In blind technique, marking for biopsy was done by ultrasound. Two attempts were performed for all and more if tissue was inadequate. Patients kept in bed rest for 24 hours, observed for post procedure hematuria and ultrasound done at 6 hours and 24 hours to diagnose perinephric hematoma.Results: Total 75 biopsies (blind = 37 and Ultrasound -guided = 38) were evaluated. Blind and Ultrasound-guided technique had significant difference of number of attempt (mean±SD) 2.4±0.6 and 2.1±0.3 (p<0.01) respectively with no difference of number of glomeruli in light microscopy. Bleeding complications were macroscopic hematuria (11(30%)vs15(40%)) and perinephric hematoma ( 5(13.5%)vs3(7.9%)) in blind and Ultrasound-guided technique respectively with no significant difference. Those patients who developed perinephric hematoma was observed in all at 6 hours.Conclusions: Ultrasound-guided technique of percutaneous renal biopsy is superior with fewer attempts and equivalent in adequacy of tissue and bleeding complication than blind technique.

scholarly journals Abstract No. 145 Risk factors for bleeding complications after renal biopsy

2021 ◽  
Vol 32 (5) ◽  
pp. S65
Author(s):  
T. Agnihotri ◽  
T. Mabud ◽  
C. Zhan ◽  
B. Taslakian
Keyword(s):  
Risk Factors ◽  
Renal Biopsy ◽  
Bleeding Complications

Risk factors for Severe Bleeding Complications in Vitreoretinal Surgery and the Role of Antiplatelet or Anticoagulant Agents

2021 ◽  
Author(s):  
Peer Lauermann ◽  
Anthea Klingelhöfer ◽  
Dorothee Mielke ◽  
Christian van Oterendorp ◽  
Hans Hoerauf ◽  
...  
Keyword(s):  
Risk Factors ◽  
Vitreoretinal Surgery ◽  
Bleeding Complications ◽  
Severe Bleeding ◽  
Anticoagulant Agents

scholarly journals Superselective renal artery embolization for bleeding complications after percutaneous renal biopsy: a single-center experience

2019 ◽  
Vol 47 (4) ◽  
pp. 1649-1659 ◽  
Author(s):  
Wang Haochen ◽  
Wang Jian ◽  
Song Li ◽  
Lv Tianshi ◽  
Tong Xiaoqiang ◽  
...  
Keyword(s):  
Contrast Media ◽  
Renal Artery ◽  
Renal Biopsy ◽  
Arteriovenous Fistula ◽  
Percutaneous Biopsy ◽  
Bleeding Complications ◽  
Gelatin Sponge ◽  
Artery Embolization ◽  
Percutaneous Renal Biopsy ◽  
Renal Artery Embolization

Objective This study aimed to determine if superselective renal artery embolization is a safe and effective method of treating bleeding complications after percutaneous renal biopsy. Methods From January 2006 to December 2017, 43 patients (22 men and 21 women, mean age: 44.5 ± 14.0 years) underwent angiography for post-biopsy bleeding complications following percutaneous biopsy. Patients underwent angiography and superselective artery embolization. We recorded serum creatinine and hemoglobin values to assess the effect of embolization. Results Successful embolization was achieved in all patients. There was a pseudoaneurysm in 10 cases, arteriovenous fistula in eight, contrast media extravasation in 16, arteriovenous fistula combined with contrast media extravasation in five, and pseudoaneurysm combined with arteriovenous fistula in four. The embolic substance was a microcoil only or combined with a gelatin sponge. The mean creatinine value was not different at 1 day and 1 week after embolization compared with before embolization. Mean hemoglobin values were significantly higher at 1 day and 1 week after embolization than before embolization. Conclusions Superselective renal artery embolization is a safe and effective treatment for post-biopsy bleeding complications after percutaneous renal biopsy. Lumbar or iliolumbar artery angiography is necessary if renal arteriography shows no signs of hemorrhage.

Sign in / Sign up

Export Citation Format

Share Document