Ultrasound-guided percutaneous renal biopsy at a university hospital: retrospective analysis of success and complication rates

Gomes, Orlando Vieira; Almeida, Bianca Alencar Dias; Santana, Leonardo Fernandes e; Rodrigues, Mateus de Sousa; Locio, Guilherme Bruno Pires Marques; Araújo, Carla Santos; Rosas, Carlos Henrique de Sousa; Guimarães, Marcos Duarte

doi:10.1590/0100-3984.2020.0064

Cited by 2 publications

(1 citation statement)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The distribution pattern of Ig-A antibodies in immunofluorescence with positivity in the capillary loops along the glomerular basement membrane, tubular membrane, and Bowman's capsule reflects the distribution of the a1/a2 (IV) collagen chains, which are the targets of the antibodies in this atypical presentation of anti-GBM disease (7,8). The use of renal biopsy contributes to both the diagnosis and prognosis of the disease; however, when there is a strong suspicion of RPGN, biopsy should be indicated and carried out as soon as possible, and specific treatment instituted regardless of whether biopsy is carried out (18).…”

Section: Discussionmentioning

confidence: 99%

Crescentic glomerulonephritis due to linear IgA anti-glomerular basement membrane disease: report of a rare case

Monich,

Romani,

Carneiro

2024

Braz J Med Biol Res

View full text Add to dashboard Cite

Anti-glomerular basement membrane (GBM) disease is a rare and severe vasculitis that affects the glomerular and pulmonary capillaries and has an incidence of less than 2 cases per million individuals per year. Anti-GBM disease is mediated by autoantibodies against the a3 chain of type IV collagen. In the majority of cases, the autoantibodies are of the immunoglobulin G (IgG) class, with rare cases being mediated by immunoglobulin M (IgM) or immunoglobulin A (IgA); there are less than 15 IgAmediated cases reported in the literature worldwide. The classic form of this disease manifests with rapidly progressive glomerulonephritis (RPGN), with or without pulmonary hemorrhage, and the diagnosis consists of identifying high titers of autoantibodies in the serum and/or deposited in the tissues. IgA antibodies are not identified in routine immunoassay tests, and renal biopsy with immunofluorescence is essential for diagnosis. We present a case of RPGN due to anti-GBM disease with linear IgA deposition, whose diagnosis was made exclusively by renal biopsy and with an unfavorable prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Crescentic glomerulonephritis due to linear IgA anti-glomerular basement membrane disease: report of a rare case

Monich,

Romani,

Carneiro

2024

Braz J Med Biol Res

View full text Add to dashboard Cite

show abstract

Reduction of patients’ bed rest time after percutaneous renal biopsy evaluated by the Nursing Outcomes Classification: Randomized clinical trial

de Fátima Lucena,

Oliveira,

Manfro

2023

Int J of Nursing Knowl

View full text Add to dashboard Cite

PurposeTo evaluate the reduction of patients’ bed rest time after percutaneous renal biopsy (PRB) from 24 to 8 h using the Nursing Outcomes Classification (NOC).MethodsThis was a randomized clinical trial registered with Clinical Trials number NCT04629235. The sample comprised 16 patients in the intervention group and 18 in the control group. In the intervention group, the rest time was modified to 8 h, and afterward, the patients were released to ambulate, whereas the control patients remained at absolute rest for 24 h after PRB according to institutional protocol. All patients were observed for 24 h and evaluated at five time points with the outcomes and indicators of the NOC: before the biopsy, immediately after, at the 8th hour, at the 12th hour, and at the 24th hour after the procedure.ResultsIn the 170 evaluations performed, statistically significant differences were identified in the outcome Comfort status: physical and the indicators “physical well‐being and comfortable position.” None of the complications were related to reduced bed rest time.ConclusionsReducing patients’ bed rest time from 24 to 8 h did not increase complications from PRB, and using the NOC provided a standardized and reliable assessment.Implications for nursing practiceImportant evidence was identified for patient care after PRB, demonstrating the positive impact on patient comfort and the possibility of reducing costs to the institution and the workload of the multidisciplinary team. In addition, these findings may contribute to strengthening the use of NOC in clinical practice, teaching, and research.

show abstract

Ultrasound-guided percutaneous renal biopsy at a university hospital: retrospective analysis of success and complication rates

Cited by 2 publications

References 25 publications

Crescentic glomerulonephritis due to linear IgA anti-glomerular basement membrane disease: report of a rare case

Crescentic glomerulonephritis due to linear IgA anti-glomerular basement membrane disease: report of a rare case

Reduction of patients’ bed rest time after percutaneous renal biopsy evaluated by the Nursing Outcomes Classification: Randomized clinical trial

Contact Info

Product

Resources

About