Sökning: onr:"swepub:oai:gup.ub.gu.se/246408" > High Resistive Inde...
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000 | 03949naa a2200445 4500 | |
001 | oai:gup.ub.gu.se/246408 | |
003 | SwePub | |
008 | 240910s2016 | |||||||||||000 ||eng| | |
009 | oai:DiVA.org:umu-128164 | |
024 | 7 | a https://gup.ub.gu.se/publication/2464082 URI |
024 | 7 | a https://doi.org/10.1016/j.transproceed.2016.07.0162 DOI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1281642 URI |
040 | a (SwePub)gud (SwePub)umu | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Peters, Björnu Umeå universitet,Medicin4 aut0 (Swepub:umu)bjpe0017 |
245 | 1 0 | a High Resistive Index in Transplant Kidneys Is a Possible Predictor for Biopsy Complications |
264 | 1 | b Elsevier BV,c 2016 |
520 | a Background. Transplant kidney biopsies are performed to determine a histological diagnosis for specific patient treatment. The aim of this study was to investigate if Resistive Index (RI) could be a predictor for biopsy complications. Methods. In this study, 220 consecutive transplant kidney biopsies (136 men and 84 women; median age, 55.5 years) were prospectively included. RI (median, 0.7) was measured by use of ultrasound. Histological diagnoses and biopsy complications were registered. Biopsy needles were either 16- or 18-gauge. Biopsies were performed by radiologists and were carried out as an outpatient procedure (70%) or an inpatient procedure (30%). Usually three passes per biopsy were performed. Results. The overall complication rate was 6.8%, divided into major (4.5%) and minor (2.3%) complications. An RI >= 0.8 predicts major (13.3% versus 3.2%; risk ratio [RR], 4.2; confidence interval [CI], 1.3-14.1; P=.03) and overall biopsy complications (16.7% versus 5.3%; RR, 3.2; CI, 1.2-8.6; P=.04) compared with RI <0.8. In the group <0.8, RI correlated with age (r(s) = 0.28, P<.001) and systolic blood pressure (r(s) = 0.18, P=.02). In the group >= 0.8, RI correlated with degree of interstitial fibrosis (r(s) = 0.65, P=.006) and systolic blood pressure (r(s) = 0.40, P =.03). The multiple regression analysis showed that in the group <0.8, the RI correlated only with age (P<.001), whereas in the group >= 0.8, RI correlated only with the degree of interstitial fibrosis (P=.003). Conclusions. An RI >= 0.8 indicates greater risk for major and overall biopsy complications and should result in greater caution after biopsy. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Urologi och njurmedicin0 (SwePub)302142 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Urology and Nephrology0 (SwePub)302142 hsv//eng |
653 | a renal-allograft | |
653 | a resistance index | |
653 | a long-term | |
653 | a Immunology | |
653 | a Surgery | |
653 | a Transplantation | |
700 | 1 | a Stegmayr, Berndu Umeå universitet,Medicin4 aut0 (Swepub:umu)best0006 |
700 | 1 | a Mölne, Johan,d 1958u Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för patologi,Institute of Biomedicine, Department of Pathology,Department of Pathology, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden4 aut0 (Swepub:gu)xmolnj |
700 | 1 | a Haux, S. B.u Department of Radiology, Skaraborg Hospital, Skövde, Sweden.4 aut |
700 | 1 | a Hadimeri, H.u Department of Nephrology, Skaraborg Hospital, Skövde, Sweden.4 aut |
710 | 2 | a Umeå universitetb Medicin4 org |
773 | 0 | t Transplantation Proceedingsd : Elsevier BVg 48:8, s. 2714-2717q 48:8<2714-2717x 0041-1345x 1873-2623 |
856 | 4 8 | u https://gup.ub.gu.se/publication/246408 |
856 | 4 8 | u https://doi.org/10.1016/j.transproceed.2016.07.016 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128164 |
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