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
Language: Spanish
References: 11
Page: 30-36
PDF size: 389.02 Kb.
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
Prasad N, Kumar S, Manjunath R, Bhadauria D, Kaul A, Sharma RK, et al. Real-time ultrasound-guided percutaneous renal biopsy with needle guide by nephrologists decreases post-biopsy complications. Clin Kidney J. 2015;8:151-6.
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.
Hwang Y, Shin YR, Lee SL, Won YD, Ku YM. Ultrasound-guided percutaneous biopsy of the native kidney. Ultrasound Q. 2017;33:144-7.
Li Cavoli G, Bono L, Tortorici C, Li Cavoli TV, Giammarresi C, Ferrantelli A, et al. The complications of ultrasound-guided percutaneous renal biopsy. Saudi J Kidney Dis Transpl. 2017;28:430-1.
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.
Toledo K, Pérez MJ, Espinosa M, Gómez J, López M, Redondo D. Complicaciones asociadas a la biopsia renal percutánea. Experiencia en España 50 años después. Nefrologia. 2010;30:539-43.
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.
He Q, Wang H, Kenyon J, Liu G, Yang L, Tian J, et al. Accuracy of percutaneous core biopsy in the diagnosis of small renal masses (<4.0 cm): a meta-analysis. Int Braz J Urol. 2015;41:15-25.
Xu DM, Chen M, Zhou FD, Zhao MH. Risk factors for severe bleeding complications in percutaneous renal biopsy. Am J Med Sci. 2017;353:230-5.
Azmat R, Siddiqui AB, Khan MTR, Sunder S, Kashif W. Bleeding complications post ultrasound guided renal biopsy. A single centre experience from Pakistan. Ann Med Surg (Lond). 2017;21:85-8.
Zaetta JM, Licht MO, Fisher JS, Avelar RL; Bio-Seal Study Group. A lung biopsy tract plug for reduction of postbiopsy pneumothorax and other complications: results of a prospective, multicenter, randomized, controlled clinical study. J Vasc Interv Radiol. 2010;21:1235-43.