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- W2083376774 abstract "Percutaneous biopsy of native kidneys is an essential tool in the diagnosis and treatment of patients with kidney disease; however, there are many potential complications.1Parrish A.E. Complications of percutaneous renal biopsy: a review of 37 years experience.Clin Nephrol. 1992; 38: 135-141PubMed Google Scholar, 2Korbet S.M. Percutaneous renal biopsy.Semin Nephrol. 2002; 22: 254-267Abstract Full Text PDF PubMed Scopus (153) Google Scholar, 3Hergesell O. Felten H. Andrassy K. Kühn K. Ritz E. Safety of ultrasound-guided percutaneous renal biopsy-retrospective analysis of 1090 consecutive cases.Nephrol Dial Transplant. 1998; 13: 975-977Crossref PubMed Scopus (227) Google Scholar Generally, power and color Doppler ultrasound technology is used only to evaluate postbiopsy complications. In this letter, we describe our experience with prebiopsy color Doppler ultrasound evaluation in 213 consecutive ultrasound-guided percutaneous native kidney biopsies. Prebiopsy imaging demonstrated anomalous lower pole vessels in 5.2% (11/213) of left kidneys and 4.2% (9/213) of right kidneys (Table 1). Imaging informed the decision to biopsy the contralateral kidney in 9 of 11 patients with anomalous left lower pole vessels; in the other 2 cases, it was sufficient to change the approach angle. No major complications were detected. Minor complications, like minor bleeding, were seen in 1.9% (4/213) patients.Table 1Detection of Anomalous Vessels in Prebiopsy Color Doppler Ultrasound EvaluationRight KidneyLeft KidneyLower pole perforant arteries23Pole inferior arteries23Capsular vessels——Paralumbar plexus—1Anomalous interlobar vessels54Total9/213 (4.2%)11/213 (5.2%) Open table in a new tab Recently, Manno et al4Manno C. Strippoli G.F.M. Arnesaro L. et al.Predictors of bleeding complications in percutaneous ultrasound-guided renal biopsy.Kidney Int. 2004; 66: 1570-1577Crossref PubMed Scopus (252) Google Scholar reported complication rates for 471 patients who had a biopsy without prebiopsy color Doppler ultrasonography. They found postbiopsy bleeding complications in 34.1% of patients, comprising hematoma in 33.3%, gross hematuria in 0.4%, and development of an arteriovenous fistula in 0.4%. The majority of the reported complications were minor (32.9% of all patients), with major complications in 1.2%. The authors found that only sex, baseline partial thromboplastin time, and age were independent predictive factors for postbiopsy bleeding. Our data, specifically our low hematoma rate, suggest that clinically significant postbiopsy hematomas could be related to small anomalous vessels at the lower pole. These anomalies are detectable with prebiopsy color Doppler sonography and could be considered as an independent risk factor for postbiopsy complications. Larger, controlled studies are needed to confirm our data. Support: None. Financial Disclosure: None." @default.
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- W2083376774 date "2008-08-01" @default.
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- W2083376774 title "Usefulness of Color Doppler Ultrasonography for Prebiopsy Evaluation of Native Kidneys" @default.
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- W2083376774 doi "https://doi.org/10.1053/j.ajkd.2008.05.021" @default.
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