Risk factors analysis of bleeding after percutaneous renal puncture biopsy_West China Medical Journal

Authors：

CHENG Tao , CHENG Lu ,  GOU Shenju

Department of Nephrology and Kidney Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

GOU Shenju, Email: goushenju@scu.edu.cn

Keywords：

Percutaneous renal puncture biopsy; complications; postoperative hemorrhage; risk factor

DOI：

10.7507/1002-0179.202205143

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Percutaneous renal puncture biopsy is an invasive procedure, and there are still some risks in its application. Bleeding after puncture is a major risk of percutaneous renal biopsy. In order to improve the safety of percutaneous renal puncture biopsy, clinical researchers have been exploring and studying the possible etiology, risk factors and prevention measures of postoperative bleeding in recent years. It is of great significance to clarify the risk factors of bleeding after percutaneous renal puncture biopsy and take timely targeted measures to reduce the risk to the maximum extent for improving the control effect of postoperative bleeding and other complications. This article intends to analyze and summarize the clinical research progress on the occurrence and risk factors of bleeding after percutaneous renal biopsy, in order to provide reference for the prevention and treatment of bleeding after percutaneous renal puncture biopsy.

Citation： CHENG Tao, CHENG Lu, GOU Shenju. Risk factors analysis of bleeding after percutaneous renal puncture biopsy. West China Medical Journal, 2023, 38(7): 1082-1085. doi: 10.7507/1002-0179.202205143 Copy

1.	黄瑶, 施克雯, 朱雪婧, 等. 中国单中心 9310 例肾活检病理诊断疾病谱. 中南大学学报 (医学版), 2022, 47(5): 546-554.
2.	Esposito V, Mazzon G, Baiardi P, et al. Safety and adequacy of percutaneous kidney biopsy performed by nephrology trainees. BMC Nephrol, 2018, 19(1): 14.
3.	田秀娟, 王頔, 黄晨. 老年肾脏病患者行肾活检的临床表现及肾脏组织病理分型. 中华老年多器官疾病杂志, 2022, 21(2): 81-85.
4.	张翔, 刘丽, 梁弦弦, 等. 经皮肾穿刺活检术后出血介入栓塞治疗临床效果. 介入放射学杂志, 2021, 30(1): 79-83.
5.	Haochen W, Jian W, Li S, et al. Superselective renal artery embolization for bleeding complications after percutaneous renal biopsy: a single-center experience. J Int Med Res, 2019, 47(4): 1649-1659.
6.	陈清亮, 申猛, 李照军, 等. 超选择性肾动脉栓塞治疗肾穿刺活检术后出血. 中国微创外科杂志, 2020, 20(2): 175-177, 183.
7.	李思倩, 孙婧, 蒋栋, 等. 自体肾经皮肾穿刺活检术后出血并发症的危险因素分析. 临床肾脏病杂志, 2020, 20(10): 769-774.
8.	Feldmann Y, Böer K, Wolf G, et al. Complications and monitoring of percutaneous renal biopsy - a retrospective study. Clin Nephrol, 2018, 89(4): 260-268.
9.	Bhadauria D, Jose L, Kushwaha R, et al. Delayed onset bleed after percutaneous kidney biopsy: is it the same as early bleed?. Acta Radiol, 2021, 63(2): 261-267.
10.	Xu S, Ma L, Lin J, et al. Efficacy and safety of percutaneous renal biopsy performed using 18G needle versus 16G needle: a single-center retrospective study. Int Urol Nephrol, 2022, 54(12): 3255-3261.
11.	Nance ME, Tarim AO, Nguyen V, et al. Risk factors for major hemorrhage following percutaneous image-guided renal biopsy: what is the “core” of the problem? A retrospective case-control study. J Clin Imaging Sci, 2020(10): 54.
12.	张帅, 孙文奎, 时俊雨, 等. 超声引导下经皮肾穿刺活检术后出血相关因素分析. 医学影像学杂志, 2021, 31(10): 1720-1722.
13.	王学敏, 王婧, 赵宝青, 等. 经皮肾穿刺活检患者取材质量、肾活检术成功率及安全性分析. 临床军医杂志, 2021, 49(12): 1340-1342.
14.	胡婷, 张红梅, 殷佳珍, 等. 超声引导下经皮肾穿刺活检术后中度肾血肿形成的危险因素分析及护理. 中国实用护理杂志, 2019, 35(29): 2263-2268.
15.	王怡宁, 杨悦, 涂天琪, 等. 老年肾病综合征肾活检病理类型及血清抗 M 型磷脂酶 A2 受体 IgG 水平的研究. 中国实用内科杂志, 2020, 40(2): 150-152,157.
16.	Bonani M, Seeger H, Weber N, et al. Safety of kidney biopsy when performed as an outpatient procedure. Kidney Blood Press Res, 2021, 46(3): 310-322.
17.	莫伊雯, 陈伟红, 徐静. 取消腹带应用对肾穿刺活检术后患者安全性和舒适度的影响. 护士进修杂志, 2020, 35(16): 1503-1505.
18.	Schorr M, Roshanov PS, Weir MA, et al. Frequency, timing, and prediction of major bleeding complications from percutaneous renal biopsy. Can J Kidney Health Dis, 2020 (7): 2054358120923527.
19.	李凤, 方芹, 李惠施, 等. 超声引导肾穿刺活检术后出现血肿的危险因素分析. 中国超声医学杂志, 2020, 36(2): 132-135.
20.	张蕾, 李国梁, 党宗辉, 等. 西藏地区肾穿刺活检术后出血风险分析. 北京大学学报 (医学版), 2021, 53(2): 298-301.
21.	张宇, 杨嘉嘉, 郭晶晶, 等. 探讨超声引导肾脏穿刺活检效果的影响因素. 中国超声医学杂志, 2022, 38(7): 795-798.
22.	周大为, 郑丽, 梁发东, 等. 超声引导下经皮肾穿刺活检术后严重出血的危险因素. 影像科学与光化学, 2022, 40(2): 357-361.
23.	Lim CC, Tan RY, Choo JCJ, et al. Estimation of risk for major bleeding in native kidney biopsies in patients with multiple risk factors. Int Urol Nephrol, 2022, 54(2): 343-348.
24.	Xu J, Wu X, Xu Y, et al. Acute kidney disease increases the risk of post-kidney biopsy bleeding complications. Kidney Blood Press Res, 2020, 45(6): 873-882.
25.	Xu S, Xiong B, Lin S, et al. Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy. J Int Med Res, 2021, 49(11): 3000605211058377.
26.	邵文洁, 周陈, 欧长笛, 等. 儿童肾活检术后出血与胡桃夹现象的相关性及危险因素分析. 中国超声医学杂志, 2022, 38(9): 1017-1020.
27.	Monahan H, Gunderson T, Greene E, et al. Risk factors associated with significant bleeding events after ultrasound-guided percutaneous native renal biopsies: a review of 2204 cases. Abdom Radiol (NY), 2019, 44(6): 2316-2322.

1. 黄瑶, 施克雯, 朱雪婧, 等. 中国单中心 9310 例肾活检病理诊断疾病谱. 中南大学学报 (医学版), 2022, 47(5): 546-554.
2. Esposito V, Mazzon G, Baiardi P, et al. Safety and adequacy of percutaneous kidney biopsy performed by nephrology trainees. BMC Nephrol, 2018, 19(1): 14.
3. 田秀娟, 王頔, 黄晨. 老年肾脏病患者行肾活检的临床表现及肾脏组织病理分型. 中华老年多器官疾病杂志, 2022, 21(2): 81-85.
4. 张翔, 刘丽, 梁弦弦, 等. 经皮肾穿刺活检术后出血介入栓塞治疗临床效果. 介入放射学杂志, 2021, 30(1): 79-83.
5. Haochen W, Jian W, Li S, et al. Superselective renal artery embolization for bleeding complications after percutaneous renal biopsy: a single-center experience. J Int Med Res, 2019, 47(4): 1649-1659.
6. 陈清亮, 申猛, 李照军, 等. 超选择性肾动脉栓塞治疗肾穿刺活检术后出血. 中国微创外科杂志, 2020, 20(2): 175-177, 183.
7. 李思倩, 孙婧, 蒋栋, 等. 自体肾经皮肾穿刺活检术后出血并发症的危险因素分析. 临床肾脏病杂志, 2020, 20(10): 769-774.
8. Feldmann Y, Böer K, Wolf G, et al. Complications and monitoring of percutaneous renal biopsy - a retrospective study. Clin Nephrol, 2018, 89(4): 260-268.
9. Bhadauria D, Jose L, Kushwaha R, et al. Delayed onset bleed after percutaneous kidney biopsy: is it the same as early bleed?. Acta Radiol, 2021, 63(2): 261-267.
10. Xu S, Ma L, Lin J, et al. Efficacy and safety of percutaneous renal biopsy performed using 18G needle versus 16G needle: a single-center retrospective study. Int Urol Nephrol, 2022, 54(12): 3255-3261.
11. Nance ME, Tarim AO, Nguyen V, et al. Risk factors for major hemorrhage following percutaneous image-guided renal biopsy: what is the “core” of the problem? A retrospective case-control study. J Clin Imaging Sci, 2020(10): 54.
12. 张帅, 孙文奎, 时俊雨, 等. 超声引导下经皮肾穿刺活检术后出血相关因素分析. 医学影像学杂志, 2021, 31(10): 1720-1722.
13. 王学敏, 王婧, 赵宝青, 等. 经皮肾穿刺活检患者取材质量、肾活检术成功率及安全性分析. 临床军医杂志, 2021, 49(12): 1340-1342.
14. 胡婷, 张红梅, 殷佳珍, 等. 超声引导下经皮肾穿刺活检术后中度肾血肿形成的危险因素分析及护理. 中国实用护理杂志, 2019, 35(29): 2263-2268.
15. 王怡宁, 杨悦, 涂天琪, 等. 老年肾病综合征肾活检病理类型及血清抗 M 型磷脂酶 A2 受体 IgG 水平的研究. 中国实用内科杂志, 2020, 40(2): 150-152,157.
16. Bonani M, Seeger H, Weber N, et al. Safety of kidney biopsy when performed as an outpatient procedure. Kidney Blood Press Res, 2021, 46(3): 310-322.
17. 莫伊雯, 陈伟红, 徐静. 取消腹带应用对肾穿刺活检术后患者安全性和舒适度的影响. 护士进修杂志, 2020, 35(16): 1503-1505.
18. Schorr M, Roshanov PS, Weir MA, et al. Frequency, timing, and prediction of major bleeding complications from percutaneous renal biopsy. Can J Kidney Health Dis, 2020 (7): 2054358120923527.
19. 李凤, 方芹, 李惠施, 等. 超声引导肾穿刺活检术后出现血肿的危险因素分析. 中国超声医学杂志, 2020, 36(2): 132-135.
20. 张蕾, 李国梁, 党宗辉, 等. 西藏地区肾穿刺活检术后出血风险分析. 北京大学学报 (医学版), 2021, 53(2): 298-301.
21. 张宇, 杨嘉嘉, 郭晶晶, 等. 探讨超声引导肾脏穿刺活检效果的影响因素. 中国超声医学杂志, 2022, 38(7): 795-798.
22. 周大为, 郑丽, 梁发东, 等. 超声引导下经皮肾穿刺活检术后严重出血的危险因素. 影像科学与光化学, 2022, 40(2): 357-361.
23. Lim CC, Tan RY, Choo JCJ, et al. Estimation of risk for major bleeding in native kidney biopsies in patients with multiple risk factors. Int Urol Nephrol, 2022, 54(2): 343-348.
24. Xu J, Wu X, Xu Y, et al. Acute kidney disease increases the risk of post-kidney biopsy bleeding complications. Kidney Blood Press Res, 2020, 45(6): 873-882.
25. Xu S, Xiong B, Lin S, et al. Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy. J Int Med Res, 2021, 49(11): 3000605211058377.
26. 邵文洁, 周陈, 欧长笛, 等. 儿童肾活检术后出血与胡桃夹现象的相关性及危险因素分析. 中国超声医学杂志, 2022, 38(9): 1017-1020.
27. Monahan H, Gunderson T, Greene E, et al. Risk factors associated with significant bleeding events after ultrasound-guided percutaneous native renal biopsies: a review of 2204 cases. Abdom Radiol (NY), 2019, 44(6): 2316-2322.

West China Medical Journal

Risk factors analysis of bleeding after percutaneous renal puncture biopsy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content