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2018, Number 1

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Anales de Radiología México 2018; 17 (1)

Percutaneous renal biopsy: approach, characterization of the technique, and histopathological results

Becerra-Pino IO, Guerrero-Avendaño GML; Enríquez-García R
Full text How to cite this article

Language: Spanish
References: 11
Page: 30-36
PDF size: 389.02 Kb.


Key words:

Biopsy, Technique, Ultrasound, Embolization.

ABSTRACT

Introduction: Percutaneous renal biopsy is the reference procedure due to the information it provides for diagnosis of nephropathic patients, but because it is an invasive procedure there may be complications, which can be avoided. Today, the global rate of complications is 3.8% between major (1.0%) and minor (2.8%) complications. In our Hospital, Gelfoam® paste is used to embolize the needle’s path after each biopsy is taken, with which we have seen a reduction in the frequency of complications; however, the experience observed in renal biopsies, which are the object of this study, has not been described.
Objective: Report on the experience observed in taking renal biopsies using embolizing material to prevent complications in taking renal biopsies.
Method: We conducted a retrospective, descriptive study, which included 44 patients who underwent renal biopsies.
Results: Of the 44 patients, 18 were men (40.9%) and 26 women (59.0%), between 9 and 80 years of age (mean: 41.9). The histopathological results reported malignancy in 15 patients (34%), and benignancy in 29 (65%). In one case insufficient material was obtained. There was only one minor complication (2.2%). There was no mortality.
Conclusion: Ultrasound-guided renal biopsy is a safe and reliable procedure due to the low incidence of complications (2%) and its high diagnostic accuracy (97.7%).


REFERENCES

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  2. Cassol CA, Braga JR, Dabbo S, Khalili K, Ávila-Casado C. Effectiveness and safety of two 18-gauge needle types on native and allograft renal biopsies. Ann Diagn Pathol. 2017;28:1-6.

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  5. Devi BV, Lakshmi BS, Supraja C, Vanajakshmma V, Ram R, Rajasekhar D, et al. Hemorrhage from lumbar artery following percutaneous renal biopsy. Indian J Nephrol. 2015;25:234-6.

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  7. Rasmussen LR, Loft M, Nielsen TK, Bjødstrup Jensen M, Høyer S, Hørlyck A, et al. Short-term complications for percutaneous ultrasound-guided biopsy of renal masses in adult outpatients. Acta Radiologica. 2018;59:491-6.

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Anales de Radiología México. 2018;17