Abstract
Abstract Background and Aims Renal biopsy is the gold standard for pathological diagnosis of graft dysfunction. Minor complications occur as haematuria, arteriovenous fistula (AVF) and/or small hematomas in 17% of cases. Major complications that require additional treatment as blood transfusion, surgical or interventional procedure. Bleeding may be excessive that may deteriorate ending in graft nephrectomy. Method For 6 months period, 213 renal biopsy procedure in clinically indicated patients, performed at interventional nephrology unit 144 men and 59 women, mean age 42 years old, were included. Adequate biopsies were considered showing at least ten glomeruli and 2 blood vessels. Immediate after core withdrawal, operator started ultrasound guided compression using 3-5 MHZ convex probe for 5 minutes at site of needle entrance compressing biopsy track against the graft. Post biopsy bleeding examined (peri-nephric, sub-capsular, haematuria and urinary bladder hematomas. Results Percentage of bleeding complications was compared with bleeding complications of previous 200 biopsies performed at the same centre with same operator using ordinary hand compression technique. Bleeding complications reduction by more than 60% especially percentage of perinephric hematomas. Conclusion Ultrasound guided compression technique post renal graft biopsy may reduce incidence of bleeding complications post biopsy.
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