Efficacy and safety of percutaneous renal biopsy performed using 18G needle versus 16G needle: a single-center retrospective study

Abstract

Background At present, both 16G and 18G needles are used for percutaneous renal biopsy in China. This study aimed to compare the efficacy and safety of biopsy performed with the 18G needle vs. the 16G needle. Methods The data of patients who underwent percutaneous renal biopsy at our hospital between January 2015 and December 2019 were retrospectively analyzed. The number of glomeruli obtained by puncture and postoperative complications were compared between patients undergoing biopsy with the 16G and 18G needles. Continuous variables were compared by the t test or the Mann–Whitney U test, and categorical variables by the chi-square test. Correlation analysis was used to examine the relationship of different variables with hematoma size. Results Of the total 3138 kidney biopsies, 2526 were performed with the18G needle and 612 with the 16G needle. The number of glomeruli obtained was not significantly different between the two groups (P = 0.078). Large hematomas were significantly more common the 16G group than in the 18G group (9.31% vs. 5.98%, P = 0.003). Arteriovenous fistula was also more common in the 16G group (1.14% vs. 0.23%, P = 0.005). Other complications were rare, with similar incidence in the two groups. Conclusion The 18G needle is as effective as the 16G needle for percutaneous renal biopsy. The risk of large hematoma and arteriovenous fistula appear to be lower with the 18G needle.

Comparison of outcomes of an 18-gauge vs 16-gauge ultrasound-guided percutaneous renal biopsy: a systematic review and meta-analysis

“…Theoretically, the larger lumen of the 16-gauge needle should allow for more tissue to be harvested during each pass, thus increasing the potential for obtaining more glomeruli. However, contrary to our study findings, [ 24 ] found no significant difference in the number of glomeruli obtained between 16- and 18-gauge needles. This discrepancy might be attributed to sample size or technique variations across the studies.…”

“…The use of 16-gauge needle was associated with an increased mean number of obtained glomeruli, which is consistent with previous literature included in the current review [ 8 , 13 , 16 , 18–20 , 22 , 24 ]. Theoretically, the larger lumen of the 16-gauge needle should allow for more tissue to be harvested during each pass, thus increasing the potential for obtaining more glomeruli.…”

Native T1 mapping for non-invasive quantitative evaluation of renal function and renal fibrosis in patients with chronic kidney disease

“…Unfortunately, invasive renal biopsy has a considerable risk of serious complications (e.g., gross hematuria, perirenal hematoma, arteriovenous fistula, etc.) ( 9 ). Hence, a non-invasive method of monitoring renal function and assessing RF would be a valuable tool to diagnose CKD and guide antifibrotic therapy.…”