Doppler US evaluation of renal biopsy complications in children

作者：Gulcu Aytac; Goktay Yigit; Soylu Alper; Turkmen Mehmet; Kavukcu Salih; Secil Mustafa; Karabay Nuri^*

来源：Diagnostic and Interventional Radiology, 2013, 19(1): 15-19.

DOI：10.4261/1305-3825.DIR.5968-12.1

PURPOSE %26lt;br%26gt;Percutaneous renal biopsy plays an important role in-the diagnosis and management of renal disease in children, but it does carry some complications. As most cases are vascular in origin, Doppler ultrasonography (US) has clear benefits in terms:of detecting bleeding and assessinNascular damage. The aim of this study was to investigate the effectiveness of Doppler US in detecting possible complications afterpercutaneous renal biopsy in pediatric patients. %26lt;br%26gt;MATERIALS AND METHODS %26lt;br%26gt;This retrospective study was performed using the data obtained from all pediatric patients who underwent renal biopsy in our institution between 1999 and 2011. %26lt;br%26gt;RESULTS %26lt;br%26gt;A total of 175 biopsies were performed in 172 patients (48.3% Male, 51.7% female) ranging in age from 1 to 17 years (mean, 8.7 years). Of 175 biopsies, 42 (24.0%) led to complications. Overall, 52 complications (25% major, 75% minor) occurred following 42 biopsies. %26lt;br%26gt;CONCLUSION %26lt;br%26gt;Doppler US examination is capable of and helpful in detecting possible vascular complications such aSpseudoanetitysm and, aiteriovenou-fistula and improves the management of these patients after biopsy. It important to recognize the Doppler US appearance of complications associated with percutaneous renal biopsy and to perform close follow-up with Doppler US in the first 24 hours.

• 出版日期2013-2