Outpatient pediatric renal transplant biopsy--is it safe?

Abstract:

:The safe observation time following pediatric renal transplant biopsy is unknown. To predict the safety of day-care pediatric renal transplant biopsy, we retrospectively evaluated the timing, incidence and severity of post-biopsy complications in children observed overnight. Biopsies were performed under real time ultrasound guidance using an 18-gauge Bard Biopty needle. Coagulation screen and platelet counts were measured preprocedure. Hemoglobin (Hb) was measured preprocedure, at 6 h and at 1-day post-procedure. Twenty-eight of 45 children transplanted between January 2002 and May 2004 underwent 65 biopsies. There was gross hematuria following 8 (12%) biopsies; 2/8 occurred after 6 h. Hb fell by >15 g/L in six cases (9%) - three had Hb drop within 6 h post-procedure and three had a steady decline over 24 h. No patient required blood transfusion. Oral analgesia post-procedure was required in seven cases (11%). One of these had gross hematuria. No patient required surgical intervention or transfusion. Three complications were recorded >6 h post-biopsy but none required intervention. Daycare renal transplant biopsy appears to be safe in selected patients.

journal_name

Pediatr Transplant

authors

Sweeney C,Geary DF,Hebert D,Robinson L,Langlois V

doi

10.1111/j.1399-3046.2005.00433.x

keywords:

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

159-61

issue

2

eissn

1397-3142

issn

1399-3046

pii

PTR433

journal_volume

10

pub_type

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