The value of post-biopsy ultrasound in predicting complications after percutaneous renal biopsy of native kidneys

Abstract

We find that with the use of renal ultrasound 1-h post-PRB, the absence of perinephric bleeding is predictive of an uncomplicated course while the presence of a perinephric haematoma is not reliably predictive of a clinically significant complication post-renal biopsy.

Percutaneous perirenal thrombin injection for the treatment of acute hemorrhage after renal biopsy

“…Identifying a perinephric hematoma after renal biopsy is a therapeutic dilemma because hematoma alone is not predictive of a complicated post-biopsy course (14). Traditional teaching would recommend two options; first, the patient can be observed closely as the hemorrhage frequently settles spontaneously.…”

The Incidence of Major Hemorrhagic Complications After Renal Biopsies in Patients with Monoclonal Gammopathies

“…With this limitation, it was not possible to identify cases where there were minor hemorrhagic complications. Previous work has indicated that a high proportion of patients will acquire a small hematoma after a renal biopsy, whatever the underlying diagnosis (20,25). However, these are unlikely to be of clinical significance, and it can be argued that their detection is unnecessary.…”

Renal biopsy: Still a landmark for the nephrologist

“…However, the absence of hematoma at 1 h was highly predictive of an uncomplicated course [35] . Waldo et al [36] showed that patients which did not present perinephric hematoma one hour after biopsy did not develop major complications in 95% of cases, while the presence of hematoma was predictive for major complications in 43%. Therefore, the routine use of ultrasound at 1 h after PRB may have a role in determining an uncomplicated course [36] .…”