A study of clinical complications and risk factors in 1001 native and transplant kidney biopsies in Sweden

Peters, Björn; Andersson, Yvonne; Stegmayr, Bernd; Mölne, Johan; Jensen, Gert; Dahlberg, Per Anders; Holm-Gunnarsson, Inger; Ekberg, Jana; Bjurström, Karl; Haux, Stina-Britta; Hadimeri, Henrik

doi:10.1177/0284185113506190

Cited by 42 publications

(52 citation statements)

References 22 publications

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“…In contrast to some studies, our findings showed that amyloidosis was the most common diagnosis, followed by membranous nephropathy in patients over 65 years [12,[14][15][16][17]. In our study, overall complication rate of renal biopsies was 4.08 %, which was lower than the complication rate of younger age and even pediatric age group patients of other studies [18,19].…”

Section: Discussioncontrasting

confidence: 89%

Renal biopsy in the elderly: a single-center experience

et al. 2015

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Section: Discussioncontrasting

confidence: 89%

Renal biopsy in the elderly: a single-center experience

et al. 2015

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“…This single-center cohort is the largest known to be published (>2500 patients), and we demonstrated a similar rate of major complications compared with prior published reports (0-4%) (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Several very clinically important conclusions were drawn relating to renal transplant biopsy complications.…”

Section: Discussionsupporting

confidence: 80%

Complications of Ultrasound-Guided Renal Transplant Biopsies

Morgan

Chandran

Burger

et al. 2016

American Journal of Transplantation

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Renal transplant biopsies to diagnose transplant pathology are routinely performed using ultrasound guidance. Few large studies have assessed the rate and risk factors of major biopsy complications. This study is a single-center 5-year retrospective cohort analysis of 2514 biopsies. Major complications occurred in 47 of 2514 patients (1.9%) and included hospitalization, transfusion of blood products, operative exploration and interventional radiology procedures. The complication rate among "cause" biopsies was significantly higher than in "protocol" biopsies (2.7% vs. 0.33%, p < 0.001). Complications presented on postbiopsy days 0-14, with the majority diagnosed on the same day as the biopsy and manifested by hematocrit drop, although the presence of such delayed presentation of complications occurring >24 h after the biopsy on days 2-14 is previously unreported. Specific patient characteristics associated with increased risk of a complication were increased age and blood urea nitrogen, decreased platelet count, history of prior renal transplant, deceased donor transplant type and use of anticoagulant medications but not aspirin.

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“…Interventional embolization and coiling of the feeder vessel or the aneurysm itself are rarely required. Malignant conversion with total or partial organ loss, is rare [25,66,[70][71][72][73][74][75][76][77][78][79][80][81].…”

Section: Hemorrhagementioning

confidence: 99%

“…For advanced guidance, bleeding risk predictors are summarized in Table II. [72] 10. Lower BMI [72] 11.…”

Section: Bleeding Risk Modification and Risk Reduction Techniquesmentioning

confidence: 99%

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Comments and extensions to EFSUMB guidelines on renal interventional ultrasound (INVUS).

et al. 2016

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A substantial evidence base for interventional ultrasound approaches to renal diagnostic sampling and therapeutic access exists. This review comments on the evidence-based recommendations regarding ultrasound-guided renal access which have been published recently within the framework of Guidelines on Interventional Ultrasound (InVUS) of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) from a clinical practice point of view. Specific aspects of tissue handling and workup, procedural approach and patient interaction are discussed. Indications, contraindications, risk factors and methods to reduce these risks are considered.

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A study of clinical complications and risk factors in 1001 native and transplant kidney biopsies in Sweden

Abstract: The present findings motivate greater attention being paid to the risk of major side-effects after right-side biopsies from women's kidneys, as well as after biopsies from younger patients and patients with lower BMI.

Cited by 42 publications

References 22 publications

Renal biopsy in the elderly: a single-center experience

Renal biopsy in the elderly: a single-center experience

Complications of Ultrasound-Guided Renal Transplant Biopsies

Comments and extensions to EFSUMB guidelines on renal interventional ultrasound (INVUS).

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