Outcomes of percutaneous kidney biopsy, including those of solitary native kidneys

Mendelssohn, David C.; Cole, Edward

doi:10.1016/0272-6386(95)90592-8

Cited by 105 publications

(78 citation statements)

References 27 publications

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“…The work by Kersnik Levart et al (16) found mostly small perinephritic hematoma in 63.2% of 87 children, and 10 of the hematomas (11.5%) were more than 2 cm in diameter. Other authors report that the majority of hematomas are less than 2 cm, and about 1%-2% are described as symptomatic (15,28,29).…”

Section: Discussionmentioning

confidence: 99%

“…Postbiopsy bleeding (hematoma and hematuria) is the primary complication of renal biopsies (12)(13)(14). However, most of the perirenal hematomas are minor and without clinical significance, and major complications are infrequent in both adults and children when traditional risk factors, like hypertension and bleeding diathesis, are respected (15,16).…”

Section: Introductionmentioning

confidence: 99%

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Safety and Complications of Percutaneous Kidney Biopsies in 715 Children and 8573 Adults in Norway 1988–2010

Tøndel

Vikse

Bostad

et al. 2012

Clinical Journal of the American Society of Nephrology

230

238

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Summary Background and objectives Skepticism about performing renal biopsies is often because of uncertainty regarding risk of complications. The aim of this study was to evaluate safety and relevant complications of renal biopsies in pediatric and adult patients in a large national registry study. Design, setting, participants, & measurements Kidney biopsies reported in the Norwegian Kidney Biopsy Registry from 1988 to 2010 were included. Risk factors for major complications (blood transfusion and/or surgical or catheter intervention) were analyzed using logistic regression statistics. Results Of the 9288 biopsies included, 715 were from children, and 8573 were from adults (≥18 years). Median age was 49 years (range=2 weeks to 94 years). Gross hematuria appeared after biopsy in 1.9% of the patients; 0.9% of patients needed blood transfusion, and 0.2% of patients needed surgical intervention/catheterization. The frequencies were 1.9%, 0.9%, and 0.2% in adults and 1.7%, 0.1% and 0.1% in children, respectively; 97.9% of the biopsies were without complications. In unadjusted analyses, risk factors for major complications were age>60 years, estimated GFR<60 ml/min per 1.73 m2, systolic hypertension, acute renal failure, and smaller clinical center size (<30 biopsies/yr). Adjusted analyses (adjusted for age and/or estimated GFR) showed higher odds ratios (OR) only for smaller clinical center (OR=1.60 [1.02–2.50]) and low estimated GFR (estimated GFR=30–59 ml/min per 1.73 m2 [OR=4.90 (1.60–14.00)] and estimated GFR<30 ml/min per 1.73 m2 [OR 15.50 (5.60–43.00)]). Conclusions Percutaneous renal biopsy is a low-risk procedure in all ages. Reduced estimated GFR and smaller center size are associated with an increased risk of major complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Safety and Complications of Percutaneous Kidney Biopsies in 715 Children and 8573 Adults in Norway 1988–2010

Tøndel

Vikse

Bostad

et al. 2012

Clinical Journal of the American Society of Nephrology

230

238

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“…Ultrasound-guided needle biopsy of the kidney has proven to be a valuable aid in clinical evaluation of humans with many renal disorders [9,25,38]. Similarly, percutaneous needle aspiration and ultrasound-guided renal biopsy have proven effective in the dog [10,15,39] and horse [27].…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Ultrasound-guided Percutaneous Biopsy of the Right Kidney in Cattle

Tadjine

Oikawa

2008

The Journal of Veterinary Medical Science

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ABSTRACT. The purpose of the present study was to develop a technique for biopsy of the kidneys of cattle and to evaluate its usefulness and safety based on 25 consecutive biopsies. Using a handheld 14G spinal biopsy needle, the right kidney was biopsied under ultrasound control by one operator. To assess the immediate effects of renal biopsy, twenty cattle were necropsied shortly after the procedure and examined. The remaining five animals were biopsied and examined daily for nine days and then necropsied. One pass was made for biopsy of the right kidney. No immediate or delayed macroscopic hematuria was observed post-biopsy. Six animals had a thin subcapsular hematoma (less than 2 cm in diameter). We conclude that percutaneous ultrasound-guided biopsy of the right kidney is safe, fast, cost-effective and practical as long as it is performed properly.

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“…Additionally, these technical improvements have led to increased safety of the procedure: the rate of complications resulting in death decreased from 0.12% to 0.02% during the last 50 years (7,12). In fact, during the last 20 years, death resulting from PRB of native kidneys has been an extremely rare event, with no deaths reported in a number of recent studies (13)(14)(15)(16)(17)(18)(19)(20). Nonetheless, despite the improved safety of the procedure, clinically significant bleeding complications do occur in 4%-7% of biopsies on average (7,12), and rates as high as 25% to .30% have been reported in a number of recent studies despite the use of newer technologies (8,14,19,21).…”

mentioning

confidence: 99%

Nephrology and the Percutaneous Renal Biopsy

Korbet

2012

Clinical Journal of the American Society of Nephrology

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Outcomes of percutaneous kidney biopsy, including those of solitary native kidneys

Cited by 105 publications

References 27 publications

Safety and Complications of Percutaneous Kidney Biopsies in 715 Children and 8573 Adults in Norway 1988–2010

Safety and Complications of Percutaneous Kidney Biopsies in 715 Children and 8573 Adults in Norway 1988–2010

Efficacy and Safety of Ultrasound-guided Percutaneous Biopsy of the Right Kidney in Cattle

Nephrology and the Percutaneous Renal Biopsy

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