Quantification of bleeding volume using computed tomography and clinical complications after percutaneous renal biopsy

Yoichiro Chikamatsu, Ken Matsuda, Yoichi Takeuchi, Saeko Kagaya, Yoshie Ojima, Hirotaka Fukami, Hiroyuki Sato, Ayako Saito, Yoshitsugu Iwakura, Tasuku Nagasawa

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3 Citations (Scopus)

Abstract

Background: The aim of this study was to investigate specific bleeding volume after percutaneous renal biopsy (PRB) and the correlation between bleeding volume and clinical parameters. Methods: A retrospective study of 252 consecutive patients (153 male patients and 99 female patients) who underwent PRB at the Department of Nephrology, Japanese Red Cross Ishinomaki Hospital, between July 2013 and January 2016 was conducted. PRB was performed under ultrasound guidance using an automated spring-loaded biopsy device and a 16-cm, 16- gauge needle. Patients underwent computed tomography (CT) the day after PRB. Bleeding volume after PRB was evaluated using reconstructed CT data. Results: The median bleeding volume after PRB was 38mL (25th-75th percentile, 18-85 mL), with 4 punctures identified as a risk factor for massive bleeding. The incidence rates of macrohematuria, transient hypotension and bladder obstruction were 14.3, 8.7 and 4.7%, respectively. Post-PRB blood transfusion and intervention were required in 4.7 and 0.8% of patients, respectively. Conclusion: Although it is difficult to assess the risk for massive bleeding prior to PRB, we do provide evidence of a specific increased risk with 4 puncture attempts, and recommend careful follow-up of these patients.

Original languageEnglish
Pages (from-to)9-15
Number of pages7
JournalClinical Kidney Journal
Volume10
Issue number1
DOIs
Publication statusPublished - 2017 Feb 1

Keywords

  • Bleeding complications
  • Computed tomography
  • Massive bleeding
  • Percutaneous renal biopsy

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

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    Chikamatsu, Y., Matsuda, K., Takeuchi, Y., Kagaya, S., Ojima, Y., Fukami, H., Sato, H., Saito, A., Iwakura, Y., & Nagasawa, T. (2017). Quantification of bleeding volume using computed tomography and clinical complications after percutaneous renal biopsy. Clinical Kidney Journal, 10(1), 9-15. https://doi.org/10.1093/ckj/sfw131