+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Usefulness of directional power Doppler sonography in the ultrasound-guided percutaneous native kidney biopsy

Usefulness of directional power Doppler sonography in the ultrasound-guided percutaneous native kidney biopsy

Giornale Italiano di Nefrologia 20(3): 247-252

The study was aimed to analyze the pattern of bleeding throughout the kidney tissue after renal biopsy and evaluate its relationship with the onset of renal biopsy side effects by using directional power-Doppler sonography. Eighty-five consecutive subjects with clinical evidence of renal disease underwent to percutaneous renal biopsy using directional power Doppler sonography. In each patient, the pattern of kidney hemorrhage immediately after the renal biopsy was evaluated. Fifty-seven patients, representing 67% of all biopsies performed, evidenced renal bleeding lasting 5.3+/-5.7 min; fifty-five patients, representing 65% of all biopsies, developed a post biopsy hematoma (x = 2.9+/-2.0 cm); 36% of patients developed a perirenal hematoma (x = 1.8+/-2.1 cm). A subcapsular hematoma was experienced by 45% of patients (x = 2.7+/-1.1 cm); 16% of these patients had a combined perirenal-subcapsular hematoma; 5% of hematomas were larger than 5 cm. Hematoma dimensions were related to the length of bleeding (r = 0.6331; p < 0.0001). Hemoglobin and hematocrit levels significantly reduced from 12.7+/-2.3 g/dL to 11.7+/-2.3 g/dL (-7%, p < 0.0001) and 37.6+/-6.5% to 35.4+/-6.5% (-6%, p < 0.0001) respectively, and such variations were related to the hematoma size (Delta Hb: r = -0.5171; p < 0.0001; Delta Htc: r = -0.3465; p < 0.0001). This study demonstrates that directional power Doppler sonography allows medical personnel to clearly evidence all renal biopsy-related side effects and identify, through the evaluation of renal bleeding immediately after the kidney biopsy, those patients who will develop renal hematomas.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 050915785

Download citation: RISBibTeXText

PMID: 12881846

Related references

Ultrasound guided percutaneous fine-needle biopsy of the liver: efficacy of color doppler sonography. Hepato-Gastroenterology 45(23): 1829-1830, 1998

Pulsed Doppler sonography as an aid in ultrasound-guided aspiration biopsy. Gastrointestinal Radiology 12(4): 279-284, 1987

Colour doppler sonography guided percutaneous fine-needle biopsy of the liver. Roczniki Akademii Medycznej W Bialymstoku 42(1): 241-244, 1997

Systematic biopsy and power Doppler ultrasound guided target biopsy in the diagnosis of prostate cancer. Rinsho Hinyokika 54(12): 955-961, November, 2000

Ultrasound guided core biopsy of suspicious mammographic calcifications using high frequency and power Doppler ultrasound. Clinical Radiology 55(5): 390-394, 2000

Yield and complications in percutaneous renal biopsy. A comparison between ultrasound-guided gun-biopsy and manual techniques in native and transplant kidneys. Acta Radiologica 38(3): 431-436, 1997

Continuous sonography guided percutaneous kidney biopsy our experience in 97 cases. Radiologia (Madrid) 31(4): 265-267, 1989

Ultrasound-guided kidney biopsy in childhood--role of color Doppler ultrasound. Wiener Klinische Wochenschrift 107(8): 252-255, 1995

Evaluation of complications due to percutaneous renal biopsy in allografts and native kidneys with color-coded Doppler sonography. Clinical Nephrology 43(5): 303-308, 1995

Usefulness of endoscopic ultrasound-guided sampling using core biopsy needle as a percutaneous biopsy rescue for diagnosis of solid liver mass: Combined histological-cytological analysis. Journal of Gastroenterology and Hepatology 30(7): 1161-1166, 2016

Random systematic sextant biopsy versus power doppler ultrasound-guided target biopsy in the diagnosis of prostate cancer: positive rate and clinicopathological features. Journal of Nippon Medical School 72(5): 262-269, 2005

Percutaneous ultrasound guided biopty gun biopsy of solitary native kidneys. Journal of the American Society of Nephrology 5(3): 401, 1994

Evaluation of arteriovenous fistulas and pseudoaneurysms in renal allografts following percutaneous needle biopsy. Color-coded Doppler sonography versus duplex Doppler sonography. Journal of Ultrasound in Medicine 9(2): 95-100, 1990

Ultrasound guided percutaneous biopsy of the kidney. Vojnosanitetski Pregled 53(2): 111-115, 1996

Usefulness and safety of ultrasound-guided percutaneous needle biopsy in renal allograft patients. Transplantation Proceedings 30(7): 3076, 1998