Renal Needle Biopsy of the Transplant Kidney: Vascular and Urologic Complications

Boschiero, L.; Saggin, Paulo Renato Fernandes; Galante, Ori; Prati, G; Dean, Patrick G.; Longo, Michele; Ancona, G

doi:10.1159/000282315

Cited by 34 publications

(23 citation statements)

References 4 publications

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“…These are important criteria to decide for which period it is justified to wait for diuresis and creatinine clearance in a nonfunctioning kidney. A prolonged waiting period is associated with several disadvantages including the side effects of the immunosuppressive treatment (27), prolonged hospital admission, and complications from other investigations such as biopsies (28).…”

Section: Discussionmentioning

confidence: 99%

Outcome of Nonheart‐Beating Donor Kidneys with Prolonged Delayed Graft Function after Transplantation

Renkens¹,

Rouflart²,

Christiaans³

et al. 2005

American Journal of Transplantation

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Nonheart-beating donor (NHBD) kidneys are frequently associated with delayed graft function (DGF), with a deleterious effect on kidney function and allograft survival. The influence and the duration of DGF on the outcome of NHBD kidneys are assessed. All recipients of an NHBD kidney in the period 1993-2003 were reviewed. Excluded from analysis were patients with primary nonfunction (PNF).One hundred and five patients with a functioning NHBD graft were reviewed: 23 (22%) had immediate function (group 1), 40 (38%) had DGF ≤ 2 weeks (group 2), 31 (30%) had DGF 15 days to 4 weeks (group 3) and 11 (10%) had DGF for >4 weeks (group 4). Creatinine clearance at 3 months was higher in groups 1 and 2 versus group 4 (p = 0.015 and p = 0.006, respectively) and was higher in group 2 versus group 4, at 1 year (p = 0.01). Graft survival was 95%, 98%, 97% and 89%, respectively, at 1 year and 95%, 85%, 77% and 89%, respectively, at 5 years, which was not significantly different.The duration of DGF in NHB kidneys has a negative effect on creatinine clearance, but no effect on graft survival.

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Section: Discussionmentioning

confidence: 99%

Outcome of Nonheart‐Beating Donor Kidneys with Prolonged Delayed Graft Function after Transplantation

Renkens¹,

Rouflart²,

Christiaans³

et al. 2005

American Journal of Transplantation

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“…Macroscopic hematuria after biopsy occurs in 1%-7% of biopsies and is usually self-limiting (31)(32)(33)(34)(35). Color Doppler US can easily demonstrate arteriovenous fistulas (AVFs) and pseudoaneurysms as localized areas of disorganized color that extend outside the confines of the normal vessel in the renal parenchyma.…”

Section: Postbiopsy Complicationsmentioning

confidence: 99%

Renal Relevant Radiology

Sharfuddin

2014

Clinical Journal of the American Society of Nephrology

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SummaryKidney transplantation can be associated with various complications that vary from vascular complications to urologic disorders to immunologic adverse effects. In evaluating the recipient with graft dysfunction, clinicians can choose among several imaging modalities, including ultrasonography, nuclear medicine studies, computed tomography, and magnetic resonance imaging. This review discusses the evaluation of the kidney transplant recipient using these imaging procedures, emphasizing the clinical diagnostic utility and role of each modality. A kidney biopsy is often required as a gold standard for diagnostic purposes. However, because of the inherent risks of a kidney biopsy, noninvasive imaging in diagnosing causes of graft dysfunction is a highly desired tool used and needed by the transplant community. Because the diagnostic accuracy varies depending on the time course and nature of the transplant-related complication, this review also addresses the advantages and limitations of each modality. The recent advances in kidney transplant imaging techniques and their clinical implications are also discussed.

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“…High blood pressure, systolic >170 mmHg [63] 13. Renal grafts tend to demonstrate more hematuria [101], yet less overall hemorrhage [25,29,48,63,81,[102][103][104] Follow-up strategies to reduce complications Post biopsy strategies to reduce complications 1. Post-intervention, thorough compression of the biopsy area is performed before placing the patient on a sandbag for native, or a sandbag on the kidney for transplanted kidneys, for at least 4 hrs (nevertheless there is no evidence to do so).…”

Section: Bleeding Risk Modification and Risk Reduction Techniquesmentioning

confidence: 99%

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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Renal Needle Biopsy of the Transplant Kidney: Vascular and Urologic Complications

Cited by 34 publications

References 4 publications

Outcome of Nonheart‐Beating Donor Kidneys with Prolonged Delayed Graft Function after Transplantation

Outcome of Nonheart‐Beating Donor Kidneys with Prolonged Delayed Graft Function after Transplantation

Renal Relevant Radiology

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

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