Is bigger better? A retrospective analysis of native renal biopsies with 16 <scp>G</scp>auge <i>versus</i> 18 <scp>G</scp>auge automatic needles

Mai, Jun; Yong, Jim; Dixson, H.; Makris, Angela; Aravindan, Ananthakrishnapuram; Suranyi, Michael; Wong, J.Y.C.

doi:10.1111/nep.12093

Cited by 61 publications

(53 citation statements)

References 20 publications

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“…The diagnostic yield does not seem to differ significantly when comparing 14-and 16-gauge needles, but some (although not all) studies indicate lower yield with smaller (18-gauge) needles (6)(7)(8)(9)(10)(11)(12). Other factors, such as patient characteristics (e.g., kidney size) and operator experience, may also affect diagnostic yield.…”

Section: Biopsy Technique and Operator The Percutaneous Renal Biopsymentioning

confidence: 99%

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The Native Kidney Biopsy

Hogan

Mocanu

Berns

2016

Clinical Journal of the American Society of Nephrology

238

228

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The kidney biopsy is the gold standard in the diagnosis and management of many diseases. Since its introduction in the 1950s, advancements have been made in biopsy technique to improve diagnostic yield while minimizing complications. Here, we review kidney biopsy indications, techniques, and complications in the modern era. We also discuss patient populations in whom special consideration must be given when considering a kidney biopsy and the important role that the kidney biopsy plays in nephrology training. These data are presented to develop best practice strategies for this essential procedure.

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Section: Biopsy Technique and Operator The Percutaneous Renal Biopsymentioning

confidence: 99%

“…(5) The treatments' adverse event profiles are acceptable to your patient in his/her current state of health. (6) The risk of the procedure is acceptable to your patient in his/her current state of health.…”

Section: Introductionmentioning

confidence: 99%

The Native Kidney Biopsy

Hogan

Mocanu

Berns

2016

Clinical Journal of the American Society of Nephrology

238

228

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“…In adult patients a 14 or 16 gauge needle seems to be appropriate [20] , while in pae diatric patients it is better to use 18 gauge needles [21] .…”

Section: Sample Adequacymentioning

confidence: 99%

“…July 6, 2016|Volume 5|Issue 4| WJN|www.wjgnet.com Fenerberg et al [24] 1998 1081 9.6 1.11 0.09 Prasad et al [28] 1998 1090 3 0.36 0 Preda et al [20] 2003 515 9.5 2.7 0 Whittier et al [51] 2004 750 6.7 6.4 0.13 Atwell et al [44] 2010 5832 -0.7 0 Stratta et al [29] 2007 1137 24.2 0.36 0 Korbet et al [23] 2014 1055 8.1 6.6 0.09 Mai et al [21] 2013 934 5.9 0.86 0 Tøndel et al [13] 2012 9288 1.9 0.9 0 Prasad et al [28] 2015 2138…”

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confidence: 99%

Renal biopsy: Still a landmark for the nephrologist

Visconti

Cernaro

Ricciardi

et al. 2016

WJN

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“…Improvements in imaging techniques and biopsy needles have resulted in the ability to obtain adequate renal tissue for diagnosis in ≥99% of renal biopsies [3,4,5,6,7,8,9,10,11]. Additionally, these technical improvements have led to increased safety of the procedure, with the rate of life-threatening complications resulting in death decreasing from 0.12 to 0.02% over the past 60 years [3,12]; during the past 20 years, death resulting from PRB of native kidneys has been an extremely rare event [13,14,15,16,17,18,19,20,21].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Renal Biopsy of Native Kidneys: A Single-Center Experience of 1,055 Biopsies

Korbet

Volpini

Whittier³

2014

Am J Nephrol

137

118

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Background: Percutaneous renal biopsy (PRB) of native kidneys is an essential tool in the diagnosis and management of renal disease. We report one of the largest single-center experiences on the success and safety of the procedure. Methods: From June 1983 to March 2012, 1,055 adults underwent PRB using real-time ultrasound guidance and 14-gauge biopsy needles. Data were collected prospectively for 826 biopsies (78%). Statistical analysis was performed using the Mann-Whitney test, Wilcoxon matched pairs test and Kruskal-Wallis test for continuous data or the Fisher's exact test and χ² test for categorical data. Multivariate analysis using logistic regression was performed to determine which feature at baseline was predictive of a complication following renal biopsy. Results: Patients were aged 46 ± 17 years; 38% were male, 40% were white and 43% were African-American. Serum creatinine (SCr) was 2.3 ± 2.3 mg/dl (>1.5 mg/dl in 47%). The pre-PRB hemoglobin was 12 ± 2 g/dl (<11.0 g/dl in 35%). Adequate tissue for diagnosis was obtained in 99% of biopsies. Minor complications occurred in 8.1% of biopsies (mainly gross hematuria, in 4.5%). Major complications occurred in 6.6% of biopsies, with transfusions required in 5.3%. Only 1 death (0.09%) resulted from post-PRB bleeding. By multivariate analysis, baseline features predictive of a complication were systolic blood pressure >170 mm Hg (OR 4.2, 95% CI 1.8-9.8), bleeding time >7.5 min (OR 1.7, CI 1.2-2.5) and SCr >3.5 mg/dl (OR 1.8, CI 1.2-2.9). Conclusions: PRB of native kidneys using real-time ultrasound with a 14-gauge automated needle remains a successful and safe procedure.

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Is bigger better? A retrospective analysis of native renal biopsies with 16 Gauge versus 18 Gauge automatic needles

Cited by 61 publications

References 20 publications

The Native Kidney Biopsy

The Native Kidney Biopsy

Renal biopsy: Still a landmark for the nephrologist

Percutaneous Renal Biopsy of Native Kidneys: A Single-Center Experience of 1,055 Biopsies

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