Renal needle biopsy of the transplant kidney: vascular and urologic complications.
The authors reviewed the complications of 114 needle biopsies performed in 103 transplant kidneys. The diagnostic and therapeutic approach has changed markedly as a result of the introduction of Doppler ultrasound and the possibility of selectively embolizing fistula tracts. Macroscopic haematuria was the most frequent complication (5%); in one case it appeared 1 week after biopsy and was complicated with obstructive anuria due to a pyeloureteric clot. The incidence of arteriovenous fistulae was fairly low (0.9%); a selective renal angiography was performed, confirming the vascular lesion and allowing its selective embolization. Perirenal blood collections were also rare and the amounts were small.
Boschiero
L B
LB
Division of Nephrosurgery and Renal Transplantation, Hospital B. Trento, Verona, Italy.
Saggin
P
P
Galante
O
O
Prati
G F
GF
Dean
P
P
Longo
M
M
Ancona
G
G
D000328:Adult; D001164:Arteriovenous Fistula / Q000453:epidemiology / Q000209:etiology*; D001707:Biopsy, Needle / Q000009:adverse effects*; D005260:Female; D006417:Hematuria / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D012077:Renal Artery; D012082:Renal Veins; D014463:Ultrasonography