Retrospective Analysis of Ultrasound-Detected Bleeding Complications after Ultrasound-Guided Transcutaneous Kidney Biopsies.
| Autor: | Preuss S; Department of Nephrology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany. Electronic address: stephanie.lefeldt@lrz.tum.de., Kuechle C; Department of Nephrology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany., Wagenpfeil S; Institute of Medical Biometry, Epidemiology and Medical Informatics, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany., Schmaderer C; Department of Nephrology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany., Renders L; Department of Nephrology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany., Heemann U; Department of Nephrology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany., Stock K; Department of Nephrology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany. |
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| Jazyk: | angličtina |
| Zdroj: | Ultrasound in medicine & biology [Ultrasound Med Biol] 2017 Jan; Vol. 43 (1), pp. 153-162. Date of Electronic Publication: 2016 Oct 13. |
| DOI: | 10.1016/j.ultrasmedbio.2016.09.012 |
| Abstrakt: | The aim of this retrospective single-center study was to examine ultrasound-detected complications after diagnostic parenchymal renal biopsies. After 471 ultrasound-guided kidney biopsies (225 native kidneys and 246 renal allografts), ultrasound revealed hematomas (21.9%), arterio-venous fistulas (8.9%), active bleeding (1.1%) and hematuria (0.4%). Only 0.8% of all patients required invasive intervention such as coiling (n = 3) and surgical procedures (n = 1). Three episodes of bleeding (0.6%) were solved with manual compression. One patient (0.2%) needed an irrigation catheter because of hematuria. Furthermore, six patients (1.3%) received blood transfusion. Ultrasound-guided biopsies are safe. With modern ultrasound machines using multi-frequency transducers with high resolution and harmonic imaging, even marginal bleeding after renal biopsy is detected. (Copyright © 2016 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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