Safety of ultrasound-guided percutaneous renal biopsy-retrospective analysis of 1090 consecutive cases

Hergesell, Olaf; Felten, H; Andrássy, K.; Kühn, K; Ritz, E

doi:10.1093/ndt/13.4.975

Cited by 213 publications

(176 citation statements)

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“…This is comparable to previous work, where major hemorrhagic complication rates after native renal biopsies were reported as ranging from 1 to 8% (15,(17)(18)(19)(20)(21). This study included 148 patients with a known monoclonal gammopathy.…”

Section: Discussionsupporting

confidence: 82%

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The Incidence of Major Hemorrhagic Complications After Renal Biopsies in Patients with Monoclonal Gammopathies

Fish

Pinney

Jain

et al. 2010

Clinical Journal of the American Society of Nephrology

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Background and objectives: Monoclonal gammopathies frequently cause renal disease, but they may be an incidental finding. Assessment of renal pathology in the context of renal dysfunction and a monoclonal gammopathy therefore serves as a useful diagnostic tool and, in addition, provides prognostic information. There is, however, a theoretical risk of increased hemorrhagic complications from renal biopsies in this setting. The purpose of this study was to determine the incidence of significant hemorrhagic complications after renal biopsies in patients with monoclonal gammopathies.Design, setting, participants, & measurements: The case notes of 1993 unselected patients from four teaching hospitals within the United Kingdom who underwent native or transplant renal biopsies between 1993 and 2008 were reviewed. Subjects were categorized as having a monoclonal gammopathy or not, and the incidence of major hemorrhagic complications between groups was compared.Results: In total, 74 (3.7%) patients (native and transplant biopsies) had a major hemorrhagic complication. One hundred forty-eight subjects with a monoclonal gammopathy were identified. The complication rate in this group was 4.1% compared with 3.9% in the control population (native biopsies only; P ‫؍‬ 0.88).Conclusions: In the population studied, the rate of major hemorrhagic complications after percutaneous renal biopsy was not significantly greater in patients with a monoclonal gammopathy.

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Section: Discussionsupporting

confidence: 82%

“…Numerous studies have investigated the potential risk factors for complications after percutaneous renal biopsy (17)(18)(19)(20). Although monoclonal gammopathy-associated disease has been suggested to confer an increased risk of hemorrhagic complications (8,9), the current evidence supporting this theory is sparse.…”

Section: Discussionmentioning

confidence: 99%

The Incidence of Major Hemorrhagic Complications After Renal Biopsies in Patients with Monoclonal Gammopathies

Fish

Pinney

Jain

et al. 2010

Clinical Journal of the American Society of Nephrology

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“…In fact, in a systematic review and metaanalysis of 34 retrospective and prospective studies including 9474 adult patients who underwent biopsy of the native kidney, using ultrasound realtime imaging and automatic biopsy device, the overall incidence of bleeding complications were: Transient gross haematuria 3.5%, request for transfusion therapy 0.9%, demand on angiographic control of bleeding 0.6%, request for nephrectomy for control of bleeding 0.01% and death 0.02% [26] . Thus, the risk of using invasive procedures to stop bleeding is very rare [27,28] . More frequently we can treat this complication with medical treatment such as administration of endovenous fluid and/or blood products [29] .…”

Section: Complicationsmentioning

confidence: 99%

Renal biopsy: Still a landmark for the nephrologist

Visconti

Cernaro

Ricciardi

et al. 2016

WJN

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“…Furthermore, it has been demonstrated that diagnosis and therapy are modified in about 40% of cases following renal biopsy [36] and that the technique used alters the clinical prognosis in about 50% of cases [40]. Therefore, renal biopsy is considered to be the diagnostic procedure of choice for many patients in whom renal disease is suspected [14].…”

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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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Safety of ultrasound-guided percutaneous renal biopsy-retrospective analysis of 1090 consecutive cases

Abstract: If contraindications, especially high blood pressure and abnormal haemostasis, are respected, ultrasound-guided percutaneous renal biopsy with an automated biopsy device is safe. Skilled operators obtain satisfactory amounts of kidney tissue in almost all cases.

Cited by 213 publications

References 0 publications

The Incidence of Major Hemorrhagic Complications After Renal Biopsies in Patients with Monoclonal Gammopathies

The Incidence of Major Hemorrhagic Complications After Renal Biopsies in Patients with Monoclonal Gammopathies

Renal biopsy: Still a landmark for the nephrologist

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

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