Comparison of palpation‐guided and ultrasound‐guided biopsies in transplanted kidneys

Antonopoulos, Ioannis; Nahas, William Carlos; Mazzucchi, Eduardo; Ianhez, Luiz Estevam; Saldanha, Luiz Baltazar; Arap, Sami

doi:10.1034/j.1399-0012.2001.150605.x

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…The supine antero‐lateral position for obese and non‐obese patients has been reported to provide superior compliance, comfort and respiratory comfort assessed by visual analogue scale compared with the prone position . Biopsy of a renal transplant has been described exclusively with the patients in the supine position, however, like native kidney biopsy patient position in transplant biopsy is frequently not reported …”

Section: Part Ii: Renal Biopsy – Imaging Needles and Positioningmentioning

confidence: 99%

“…35 Biopsy of a renal transplant has been described exclusively with the patients in the supine position, [35][36][37] however, like native kidney biopsy patient position in transplant biopsy is frequently not reported. 38,39 F I G U R E 1 Process of renal biopsy: Communication throughout the patient journey (Adapted from Gutman et al, 1 (p. 26) with permission. )…”

Section: Part Ii: Renal Biopsy -Imaging Needles and Positioningmentioning

confidence: 99%

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KHA‐CARI Guideline recommendations for renal biopsy

et al. 2019

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Section: Part Ii: Renal Biopsy – Imaging Needles and Positioningmentioning

confidence: 99%

Section: Part Ii: Renal Biopsy -Imaging Needles and Positioningmentioning

confidence: 99%

KHA‐CARI Guideline recommendations for renal biopsy

et al. 2019

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“…After the removal of duplicates, 5004 unique records were identified, of which 4814 records were excluded after the screening of titles and abstracts. Of the 190 remaining studies, 72 studies (40 082 biopsies) 2,3,9,14,25-92 were included in the systematic review and meta-analysis after full-text review (Figure 1) including 4 single-center randomized controlled trials, 3 multicenter cohort studies (1 mixed retrospective-prospective and 2 retrospective), and 65 single-center cohort studies (10 prospective, 1 mixed retrospective-prospective, 46 retrospective, and 8 unreported). Details of the included studies are presented in Table S1, SDC, http://links.lww.com/TP/C332.…”

Section: Resultsmentioning

confidence: 99%

Complications of Percutaneous Kidney Allograft Biopsy: Systematic Review and Meta-analysis

Lim

Tan

et al. 2022

Transplantation

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Background. Kidney biopsy is important to guide the management of allograft dysfunction but has a risk of complications. This review aimed to determine the incidence and risk factors of complications after kidney allograft biopsy. Methods. This is a systematic review and meta-analysis of randomized controlled trials, cohort studies, or case-control studies indexed on PubMed, Embase, Cochrane Central Register of Controlled Trials, World Health Organization International Clinical Trials Registry, and ClinicalTrials.gov, limited to the English language, from January 2000 to December 2020, including adult and pediatric kidney allograft biopsies. Primary outcomes were gross hematuria, bleeding requiring transfusion, and major complications (requiring interventions such as blood transfusion or surgical or radiological interventions). Results. The review included 72 studies (40 082 biopsies). The quality of included studies was suboptimal. Pooled rates of gross hematuria, bleeding requiring transfusion, and major complications were 3.18% [95% confidence interval (95% CI), 2.31-4.19], 0.31% (95% CI, 0.15-0.52) and 0.89% (95% CI, 0.61-1.22), respectively. Gross hematuria rates were lower in high-income compared with middle-income countries (2.59% versus 6.44%, P < 0.01) and biopsies performed by radiology as compared with nephrology departments (1.25% versus 3.71%, P < 0.01). Blood transfusion rates were lower in pediatrics than adults (0.0% versus 0.65%, P < 0.01). Major complications were lower in biopsies performed by specialists as compared with trainees (0.02% versus 3.64%, P < 0.01). Graft loss and mortality were extremely rare. Limitations included missing data, few randomized controlled trials, and possible publication bias. Conclusions. The risk of complications after kidney allograft biopsy was low. Given the low quality of included studies, risk factors for complications should be further examined in future studies.

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“…No entanto, o número das mesmas estruturas (glomérulo se vasos) obtido pela biópsia manual é suficiente para o diagnóstico anátomo-patológico havendo igual taxa de complicação entre ambos os métodos. Não existe, portanto, necessidade absoluta de dispor de ultrasonografia para guiar a biópsia do rim transplantado 9 . O seu valor fica mais evidente nos casos de nova biópsia ou em paciente obesos.…”

Section: Das Inovações Técnicasunclassified

Contribuições à técnica cirúrgica em transplante renal - Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Antonopoulos

Piovesan

Falci

et al. 2009

Rev. Med. (São Paulo)

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Não é infreqüente ouvir que, em transplante renal, inovações de impacto no âmbito cirúrgico já não são mais prováveis. No entanto, soluções de alto impacto econômico ainda surgem com freqüência e muitas delas têm surgido no Brasil, contribuindo significativamente para a mudança de conduta cirúrgica em transplante renal a nível mundial. A técnica cirúrgica do transplante renal propriamente dita está bem estabelecida há anos, sendo muito parecida entre os diversos serviços de transplante. Já no que se refere ao tratamento cirúrgico das complicações do transplante e dos pacientes com doenças associadas à insuficiência renal crônica dialítica (IRCD), observamos considerável controvérsia e variação nas condutas. Este estudo pretende oferecer um panorama sobre as técnicas cirúrgicas utilizadas no transplante renal, as complicações decorrentes deste procedimento e os resultados obtidos pelo Serviço de Transplante Renal do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo.

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Comparison of palpation‐guided and ultrasound‐guided biopsies in transplanted kidneys

Abstract: Although ultrasound guidance improves the number of glomeruli, arcuate, and interlobar arteries, as well as arterioles, compared with palpation-guided biopsies, there is no difference in the rate of adequate material between the two methods.

Cited by 7 publications

References 15 publications

KHA‐CARI Guideline recommendations for renal biopsy

KHA‐CARI Guideline recommendations for renal biopsy

Complications of Percutaneous Kidney Allograft Biopsy: Systematic Review and Meta-analysis

Contribuições à técnica cirúrgica em transplante renal - Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

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