Percutaneous kidney biopsies Complications and their management

Altebarmakian, Varoujan K.; Guthinger, William P.; Yakub, Y. Nabil; Gutierrez, Oscar H.; Links, Charles A.

doi:10.1016/0090-4295(81)90418-0

Cited by 49 publications

(19 citation statements)

References 31 publications

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“…The frequency of arteriovenous fistulae after biopsy varies from 0.3 to 19% in biopsies of native kidneys and from 6 to 8% in biopsies of renal allografts [1, 2, 3, 4, 5, 6, 9](table 1). In five series totaling 1,042 native kidney biopsies, 31 arteriovenous fistulae (3%) were detected after the biopsy [1, 2, 3, 4, 9](table 1).…”

Section: Discussionmentioning

confidence: 99%

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Life-Threatening Hematuria from an Arteriovenous Fistula Complicating an Open Renal Biopsy

Tarif

Dunne

Parachuru

et al. 1998

Nephron

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Arteriovenous fistulae and pseudoaneurysms are not rare after renal biopsy. The majority of these lesions (80%) are asymptomatic or show only transient symptoms. We present here a patient who developed life-threatening hematuria following an open renal biopsy. Arteriovenous fistula and pseudoaneurysm were detected in the biopsied kidney by color-coded Doppler sonography, confirmed by angiography, and the fistula was sealed by superselective arterial embolization with metallic coils. Color-coded Doppler sonography successfully detects the majority of arteriovenous fistulae after renal biopsy, and selective arterial embolization obviates the need for surgical intervention in most cases.

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Section: Discussionmentioning

confidence: 99%

“…Arteriovenous fistulae and pseudoaneurysms may complicate renal biopsies; the frequency cited in the literature varies from less than 1 to 19% [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13]. Most of these lesions are asymptomatic, but a few may cause serious bleeding and require intervention.…”

Section: Introductionmentioning

confidence: 99%

Life-Threatening Hematuria from an Arteriovenous Fistula Complicating an Open Renal Biopsy

Tarif

Dunne

Parachuru

et al. 1998

Nephron

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“…It is the most common consequence of this procedure; it is usually asymptomatic [31] and resolves spontaneously over a few days.…”

Section: Microscopic Haematuriamentioning

confidence: 99%

Renal biopsy: Still a landmark for the nephrologist

Visconti

Cernaro

Ricciardi

et al. 2016

WJN

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“…In fi ve series totaling 1,042 native kidney biopsies, 31 AVF (3 %) were detected after the renal biopsy (26)(27)(28)(29)(30). It should be noted that their frequency was quite low in the more recent series; the higher incidence in the old series may have been due to cruder methods of localizing the biopsy site.…”

Section: Resultsmentioning

confidence: 99%

Arteriovenous Fistula and Pseudoaneurysm: Two Important But Rare Complications of Percutaneous Renal Biopsy and Safety of the 16 G Automated Biopsy Needle

Turgutalp¹,

Köşeci²,

Apaydin³

et al. 2013

Turk Neph Dial Transpl

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OBJECTIVE:The aim of this study was to evaluate the safety of 16 G automated biopsy needles, and the incidence of AVF and pseudoaneurysm in patients undergoing renal biopsy. MATERIAL and METHODS:Patients who underwent renal biopsy from January 2010 to December 2012 were prospectively evaluated. Color Doppler USG, hemoglobin and platelet counts, spot urine analysis were performed perormed before and after the biopsy procedure, AVF and pseudoaneurysm that developed secondary to percutaneous renal biopsy were evaluated by Doppler USG at 12 h, and 24 h, and 6 and 12 months after biopsy. RESULTS:Postbiopsy small perirenal, subcapsular, or parenchymal bleeding without clinical relevance were detected in 59 patients (89.2 %) 12 and 24 hours after procedure. RBC counts per high power fi eld increased signifi cantly after the procedure in all subjects (p<0.05). Signifi cant retroperitoneal bleeding, macroscopic hematuria, arteriovenous malformation, and pseudoaneurysm were not detected in our cohort. Glomeruli counts were acceptable in all subjects. CONCLUSION:To optimize safety, patient comfort, and diagnostic yield, a 16 G automated biopsy needle with real-time U/S guidance may be prefered as the standard approach.

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Percutaneous kidney biopsies Complications and their management

Cited by 49 publications

References 31 publications

Life-Threatening Hematuria from an Arteriovenous Fistula Complicating an Open Renal Biopsy

Life-Threatening Hematuria from an Arteriovenous Fistula Complicating an Open Renal Biopsy

Renal biopsy: Still a landmark for the nephrologist

Arteriovenous Fistula and Pseudoaneurysm: Two Important But Rare Complications of Percutaneous Renal Biopsy and Safety of the 16 G Automated Biopsy Needle

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