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：

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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.	黃瑤, 施克雯, 朱雪婧, 等. 中國單中心 9310 例腎活檢病理診斷疾病譜. 中南大學學報 (醫學版), 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, 黃晨. 老年腎臟病患者行腎活檢的臨床表現及腎臟組織病理分型. 中華老年多器官疾病雜志, 2022, 21(2): 81-85.
4.	張翔, 劉麗, 梁弦弦, 等. 經皮腎穿刺活檢術后出血介入栓塞治療臨床效果. 介入放射學雜志, 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.	陳清亮, 申猛, 李照軍, 等. 超選擇性腎動脈栓塞治療腎穿刺活檢術后出血. 中國微創外科雜志, 2020, 20(2): 175-177, 183.
7.	李思倩, 孫婧, 蔣棟, 等. 自體腎經皮腎穿刺活檢術后出血并發癥的危險因素分析. 臨床腎臟病雜志, 2020, 20(10): 769-774.
8.	Feldmann Y, B?er 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.	張帥, 孫文奎, 時俊雨, 等. 超聲引導下經皮腎穿刺活檢術后出血相關因素分析. 醫學影像學雜志, 2021, 31(10): 1720-1722.
13.	王學敏, 王婧, 趙寶青, 等. 經皮腎穿刺活檢患者取材質量、腎活檢術成功率及安全性分析. 臨床軍醫雜志, 2021, 49(12): 1340-1342.
14.	胡婷, 張紅梅, 殷佳珍, 等. 超聲引導下經皮腎穿刺活檢術后中度腎血腫形成的危險因素分析及護理. 中國實用護理雜志, 2019, 35(29): 2263-2268.
15.	王怡寧, 楊悅, 涂天琪, 等. 老年腎病綜合征腎活檢病理類型及血清抗 M 型磷脂酶 A2 受體 IgG 水平的研究. 中國實用內科雜志, 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, 陳偉紅, 徐靜. 取消腹帶應用對腎穿刺活檢術后患者安全性和舒適度的影響. 護士進修雜志, 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.	李鳳, 方芹, 李惠施, 等. 超聲引導腎穿刺活檢術后出現血腫的危險因素分析. 中國超聲醫學雜志, 2020, 36(2): 132-135.
20.	張蕾, 李國梁, 黨宗輝, 等. 西藏地區腎穿刺活檢術后出血風險分析. 北京大學學報 (醫學版), 2021, 53(2): 298-301.
21.	張宇, 楊嘉嘉, 郭晶晶, 等. 探討超聲引導腎臟穿刺活檢效果的影響因素. 中國超聲醫學雜志, 2022, 38(7): 795-798.
22.	周大為, 鄭麗, 梁發東, 等. 超聲引導下經皮腎穿刺活檢術后嚴重出血的危險因素. 影像科學與光化學, 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.	邵文潔, 周陳, 歐長笛, 等. 兒童腎活檢術后出血與胡桃夾現象的相關性及危險因素分析. 中國超聲醫學雜志, 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. 黃瑤, 施克雯, 朱雪婧, 等. 中國單中心 9310 例腎活檢病理診斷疾病譜. 中南大學學報 (醫學版), 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, 黃晨. 老年腎臟病患者行腎活檢的臨床表現及腎臟組織病理分型. 中華老年多器官疾病雜志, 2022, 21(2): 81-85.
4. 張翔, 劉麗, 梁弦弦, 等. 經皮腎穿刺活檢術后出血介入栓塞治療臨床效果. 介入放射學雜志, 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. 陳清亮, 申猛, 李照軍, 等. 超選擇性腎動脈栓塞治療腎穿刺活檢術后出血. 中國微創外科雜志, 2020, 20(2): 175-177, 183.
7. 李思倩, 孫婧, 蔣棟, 等. 自體腎經皮腎穿刺活檢術后出血并發癥的危險因素分析. 臨床腎臟病雜志, 2020, 20(10): 769-774.
8. Feldmann Y, B?er 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. 張帥, 孫文奎, 時俊雨, 等. 超聲引導下經皮腎穿刺活檢術后出血相關因素分析. 醫學影像學雜志, 2021, 31(10): 1720-1722.
13. 王學敏, 王婧, 趙寶青, 等. 經皮腎穿刺活檢患者取材質量、腎活檢術成功率及安全性分析. 臨床軍醫雜志, 2021, 49(12): 1340-1342.
14. 胡婷, 張紅梅, 殷佳珍, 等. 超聲引導下經皮腎穿刺活檢術后中度腎血腫形成的危險因素分析及護理. 中國實用護理雜志, 2019, 35(29): 2263-2268.
15. 王怡寧, 楊悅, 涂天琪, 等. 老年腎病綜合征腎活檢病理類型及血清抗 M 型磷脂酶 A2 受體 IgG 水平的研究. 中國實用內科雜志, 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, 陳偉紅, 徐靜. 取消腹帶應用對腎穿刺活檢術后患者安全性和舒適度的影響. 護士進修雜志, 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. 李鳳, 方芹, 李惠施, 等. 超聲引導腎穿刺活檢術后出現血腫的危險因素分析. 中國超聲醫學雜志, 2020, 36(2): 132-135.
20. 張蕾, 李國梁, 黨宗輝, 等. 西藏地區腎穿刺活檢術后出血風險分析. 北京大學學報 (醫學版), 2021, 53(2): 298-301.
21. 張宇, 楊嘉嘉, 郭晶晶, 等. 探討超聲引導腎臟穿刺活檢效果的影響因素. 中國超聲醫學雜志, 2022, 38(7): 795-798.
22. 周大為, 鄭麗, 梁發東, 等. 超聲引導下經皮腎穿刺活檢術后嚴重出血的危險因素. 影像科學與光化學, 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. 邵文潔, 周陳, 歐長笛, 等. 兒童腎活檢術后出血與胡桃夾現象的相關性及危險因素分析. 中國超聲醫學雜志, 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

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