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Bleeding complications after transcutaneous kidney biopsy in patients with systemic amyloidosis: Single-center experience in 101 patients
American Journal of Kidney Diseases, 11/26/08
Soares SM et al. – Findings suggests that in the absence of a hematostatic disorder and/or uncontrolled hypertension, bleeding risk during kidney biopsy is not increased in patients with systemic amyloidosis.
Methods- Study to assess the risk of bleeding after kidney biopsy in pts with amyloidosis
- Retrospective study; 101 pts with and 188 w/o amyloidosis; percutaneous kidney biopsy perormed
- Post–kidney biopsy bleeding confirmed by means of imaging
- Bleeding defined major if it required blood transfusion, hospital admission, or other invasive procedures, otherwise minor
- Post–kidney biopsy bleeding was observed in 9.9% of pts with amyloidosis vs 10.6% of controls
- Bleeding was major in 4% of pts with amyloidosis and 2.1% of controls
- 3 pts from each group required blood transfusions and selective renal angiography
- All except 1 patient from the control group underwent embolization
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