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Desmopressin Acetate Before Percutaneous Ultrasound-Guided Kidney Biopsy in Patients with Renal Failure – Is it Really Beneficial?
INTRODUCTION: The most common complication of percutaneous renal biopsy is bleeding, which can be seen in up to one-third of cases. The aim of this study was to evaluate the effect of prebiopsy administration of intranasal desmopressin acetate in reducing the incidence of biopsy-related bleeding com...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9775618/ https://www.ncbi.nlm.nih.gov/pubmed/36568600 http://dx.doi.org/10.4103/ijn.IJN_553_20 |
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author | Jose, Leena Kaul, Anupma Bhadauria, Dharmendra Kushwaha, Ravi Nandan, Raghu Lal, Hira Prasad, Narayan Behera, Manas Ranjan Patel, Manas Ranjan |
author_facet | Jose, Leena Kaul, Anupma Bhadauria, Dharmendra Kushwaha, Ravi Nandan, Raghu Lal, Hira Prasad, Narayan Behera, Manas Ranjan Patel, Manas Ranjan |
author_sort | Jose, Leena |
collection | PubMed |
description | INTRODUCTION: The most common complication of percutaneous renal biopsy is bleeding, which can be seen in up to one-third of cases. The aim of this study was to evaluate the effect of prebiopsy administration of intranasal desmopressin acetate in reducing the incidence of biopsy-related bleeding complications in patients with significant renal dysfunction who underwent renal biopsy. METHODS: This was a retrospective, observational study of percutaneous native renal biopsies performed at our center from July 2014 to June 2018. Bleeding complication rates of patients with renal failure (estimated glomerular filtration rate [eGFR] <30 mL/minute/1.73 m(2)) who received desmopressin and those who did not receive desmopressin were compared. RESULTS: Desmopressin administration before renal biopsy in patients with eGFR <30 mL/minute/1.73 m(2) was associated with a significant reduction of bleeding complications (major and minor together; P = 0.025) and no significant reduction in major complications (P = 0.616) or intervention rates (P = 0.251) when compared with a group that did not receive desmopressin. CONCLUSIONS: While prebiopsy intranasal desmopressin use was associated with a significant reduction of overall bleeding complications including major and minor complications, there was no reduction in the rate of other major complications and interventions. |
format | Online Article Text |
id | pubmed-9775618 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-97756182022-12-23 Desmopressin Acetate Before Percutaneous Ultrasound-Guided Kidney Biopsy in Patients with Renal Failure – Is it Really Beneficial? Jose, Leena Kaul, Anupma Bhadauria, Dharmendra Kushwaha, Ravi Nandan, Raghu Lal, Hira Prasad, Narayan Behera, Manas Ranjan Patel, Manas Ranjan Indian J Nephrol Original Article INTRODUCTION: The most common complication of percutaneous renal biopsy is bleeding, which can be seen in up to one-third of cases. The aim of this study was to evaluate the effect of prebiopsy administration of intranasal desmopressin acetate in reducing the incidence of biopsy-related bleeding complications in patients with significant renal dysfunction who underwent renal biopsy. METHODS: This was a retrospective, observational study of percutaneous native renal biopsies performed at our center from July 2014 to June 2018. Bleeding complication rates of patients with renal failure (estimated glomerular filtration rate [eGFR] <30 mL/minute/1.73 m(2)) who received desmopressin and those who did not receive desmopressin were compared. RESULTS: Desmopressin administration before renal biopsy in patients with eGFR <30 mL/minute/1.73 m(2) was associated with a significant reduction of bleeding complications (major and minor together; P = 0.025) and no significant reduction in major complications (P = 0.616) or intervention rates (P = 0.251) when compared with a group that did not receive desmopressin. CONCLUSIONS: While prebiopsy intranasal desmopressin use was associated with a significant reduction of overall bleeding complications including major and minor complications, there was no reduction in the rate of other major complications and interventions. Wolters Kluwer - Medknow 2022 2022-05-11 /pmc/articles/PMC9775618/ /pubmed/36568600 http://dx.doi.org/10.4103/ijn.IJN_553_20 Text en Copyright: © 2022 Indian Journal of Nephrology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Jose, Leena Kaul, Anupma Bhadauria, Dharmendra Kushwaha, Ravi Nandan, Raghu Lal, Hira Prasad, Narayan Behera, Manas Ranjan Patel, Manas Ranjan Desmopressin Acetate Before Percutaneous Ultrasound-Guided Kidney Biopsy in Patients with Renal Failure – Is it Really Beneficial? |
title | Desmopressin Acetate Before Percutaneous Ultrasound-Guided Kidney Biopsy in Patients with Renal Failure – Is it Really Beneficial? |
title_full | Desmopressin Acetate Before Percutaneous Ultrasound-Guided Kidney Biopsy in Patients with Renal Failure – Is it Really Beneficial? |
title_fullStr | Desmopressin Acetate Before Percutaneous Ultrasound-Guided Kidney Biopsy in Patients with Renal Failure – Is it Really Beneficial? |
title_full_unstemmed | Desmopressin Acetate Before Percutaneous Ultrasound-Guided Kidney Biopsy in Patients with Renal Failure – Is it Really Beneficial? |
title_short | Desmopressin Acetate Before Percutaneous Ultrasound-Guided Kidney Biopsy in Patients with Renal Failure – Is it Really Beneficial? |
title_sort | desmopressin acetate before percutaneous ultrasound-guided kidney biopsy in patients with renal failure – is it really beneficial? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9775618/ https://www.ncbi.nlm.nih.gov/pubmed/36568600 http://dx.doi.org/10.4103/ijn.IJN_553_20 |
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