Manual compression and reflex syncope in native renal biopsy

Yoichi Takeuchi, Yoshie Ojima, Saeko Kagaya, Satoshi Aoki, Tasuku Nagasawa

研究成果: Article査読

2 被引用数 (Scopus)

抄録

Background: Complications associated with diagnostic native percutaneous renal biopsy (PRB) must be minimized. While life threatening major complications has been extensively investigated, there is little discussion regarding minor bleeding complications, such as a transient hypotension, which directly affect patients’ quality of life. There is also little evidence supporting the need for conventional manual compression following PRB. Therefore, this study evaluated the relationship between minor and major complications incidence in patients following PRB with or without compression. Methods: This single-center, retrospective study included 456 patients (compression group: n = 71; observation group: n = 385). The compression group completed 15 min of manual compression and 4 h of subsequent strict bed rest with abdominal bandage. The observation group completed 2 h of strict bed rest only. The primary outcome of interest was transient symptomatic hypotension (minor event). Results: Of the 456 patients, 26 patients encountered intraoperative and postoperative transient hypotension, which were considered reflex syncope without tachycardia. Univariate analysis showed that symptomatic transient hypotension was significantly associated with compression. This association remained significant, even after adjustment of covariates using multivariate logistic regression analysis (adjusted odds ratio 3.27; 95% confidential interval 1.36–7.82; P = 0.0078). Conclusion: Manual compression and abdominal bandage significantly increased the frequency of reflex syncope during native PRB. It is necessary to consider the potential benefit and risk of compression maneuvers for each patient undergoing this procedure.

本文言語English
ページ(範囲)1100-1107
ページ数8
ジャーナルClinical and experimental nephrology
22
5
DOI
出版ステータスPublished - 2018 10月 1

ASJC Scopus subject areas

  • 生理学
  • 腎臓病学
  • 生理学(医学)

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