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Punch Biopsy and Muscle Plug ClosureTobi Ayorinde
Clinical research fellow/NORS team member
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Goals of a ‘good’ biopsy method● Quantity
● Safety
● Reliability
● Training
● Cost
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Quantity: Variable
Safety: Variable
Reliability: Poor
Training: Difficult
Cost: None
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Quantity: Low
Safety: Poor
Reliability: Poor
Reproducibility: Moderate
Training: Moderate
Cost: Moderate
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Quantity: Good
Safety: Good
Reliability: High
Reproducibility: High
Training: Easy
Cost: Low
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We are not alone!
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However, kidneys are very....vascular5
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Complications● 54 year old DCD donor, punch biopsy taken
● 7 days post transplant, post operative CT demonstrated a pseudoaneurysm and
haematoma
● Required interventional radiology to coil and a unit of blood was given
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The muscle plug
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The finished product
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Slide view
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Thank you!
QUOD – 50% of PITHIA biopsies taken so far have been in association with QUOD.