scholarly journals USE OF GUIDE CANAL OF BIOPSY NEEDLE TO ELEVATE TISSUE COLLECTION RATE IN PERCUTANEOUS RENAL BIOPSY

1976 ◽  
Vol 67 (7) ◽  
pp. 543-547
Author(s):  
Hisashi Noutomi ◽  
Hiroshi Kanetake ◽  
Hironobu Hakariya
Keyword(s):  
Renal Biopsy ◽  
Biopsy Needle ◽  
Collection Rate ◽  
Percutaneous Renal Biopsy

scholarly journals The efficacy of blind versus real-time ultrasound-guided percutaneous renal biopsy in developing country

2019 ◽  
Vol 7 ◽  
pp. 205031211984977 ◽  
Author(s):  
Wanjak Pongsittisak ◽  
Naphat Wutilertcharoenwong ◽  
Tanun Ngamvichchukorn ◽  
Sathit Kurathong ◽  
Chutima Chavanisakun ◽  
...  
Keyword(s):  
Renal Biopsy ◽  
Real Time ◽  
Resource Constraint ◽  
Bleeding Complications ◽  
Ultrasound Guided ◽  
Biopsy Needle ◽  
Percutaneous Renal Biopsy ◽  
Renal Biopsies ◽  
Lower Egfr ◽  
Adequate Tissue

Introduction: Renal biopsy is a useful diagnostic procedure. In developing countries, two techniques of renal biopsy, blind percutaneous renal biopsy and real-time ultrasound-guided percutaneous renal biopsy, have been performed. The majority of studies compared these using different types and sizes of biopsy needle. The aim of this study was to compare both techniques in resource constraint country. Method: We reviewed renal biopsy database, between 1 January 2014 to 30 June 2017. The primary outcome was the total number of glomeruli. The other outcomes were tissue adequacy and bleeding complications. We also analyzed multivariable logistic regression to find factors associated with tissue adequacy and bleeding complications. Result: Of the 204 renal biopsies, 100 were blind percutaneous renal biopsy and 104 real-time ultrasound-guided percutaneous renal biopsy. The number of native renal biopsies was 169 (82.8%). Baseline characteristics of two groups were comparable. The mean number of total glomeruli from real-time ultrasound-guided percutaneous renal biopsy was significantly more than blind percutaneous renal biopsy (20.8 ± 12.1 vs 16.0 ± 13.0, p = 0.001). The real-time ultrasound-guided percutaneous renal biopsy obtained more adequate tissues than blind percutaneous renal biopsy (45.2% vs 16%, p < 0.001) and was the only factor associated with adequate tissue. Moreover, 16 renal biopsies from blind percutaneous renal biopsy obtained inadequate tissue. The overall bleeding complications were not statistically different. We found being female, lower eGFR and lower hematocrit were associated with bleeding complications. Conclusion: In comparison with blind percutaneous renal biopsy, real-time ultrasound-guided percutaneous renal biopsy obtained more adequate tissue and number of glomeruli. While the complications of both were comparable. We encourage to practice and perform real-time ultrasound-guided percutaneous renal biopsy in resource constraint countries.

Needles for Percutaneous Renal Biopsy in Infants and Children

PEDIATRICS ◽  
1970 ◽  
Vol 46 (5) ◽  
pp. 788-789
Author(s):  
Jack Metcoff
Keyword(s):  
Young Children ◽  
Renal Biopsy ◽  
Infants And Children ◽  
Adult Type ◽  
Biopsy Needle ◽  
Percutaneous Renal Biopsy ◽  
Relative Safety ◽  
In Infants And Children ◽  
Infants And Young Children

The thin musculature and relatively small kidneys of infants and young children do not readily accommodate the rather heavy percutaneous renal biopsy needle with its large, projecting, cutting blades, which has been used with relative safety and success in adults. For use in children, the reduction in length of the adult-type needle usually is accomplished by shortening the length of the shaft. This is done by removing a segment at the end opposite to the cutting blades, without diminishing the projection of these blades. The weight of the Franklin-Silverman small version, commercially available, is about 17 gm. The cutting blades project about 22 mm.

scholarly journals Complications of Ultrasound Guided Renal Biopsy in 100 Children: Experience at a Tertiary Care Hospital

2020 ◽  
Vol 19 (2) ◽  
pp. 9-12
Author(s):  
Mohammed Maruf Ul Quader ◽  
Susmita Biswas ◽  
Mitra Datta ◽  
Muhammad Jabed Bin Amin Chowdhury ◽  
Salina Haque ◽  
...  
Keyword(s):  
Renal Biopsy ◽  
Tertiary Care ◽  
Pediatric Nephrology ◽  
Care Hospital ◽  
Female Ratio ◽  
Biopsy Needle ◽  
Pediatric Nephrologist ◽  
Percutaneous Renal Biopsy ◽  
Native Kidney ◽  
Tertiary Teaching

Background: Use of automated device with ultrasound guidance in renal biopsy has improved the adequacy and reduced the complication. Chittagong Medical College Hospital (CMCH) is a tertiary teaching hospital where Pediatric Nephrology Department started its journey on 11th December 2013. Since then renal biopsy is going on. Aim of the study is to see the rate of adequacy and complication of renal biopsy along the course of years. Materials and methods: This is a retrospective study carried on 100 consecutive ultrasonography guided percutaneous renal biopsy from lower pole of left native kidney performed by the pediatric nephrologist. All hospitalized children aged up to 12 years admitted since 2014 were included. Spring loaded automated biopsy needle was used in 88% cases and Trucut biopsy needle in 12% cases. Results: Most of the patients were aged between 1 to 10 years with male female ratio 0.9:1. Midazolam was used for sedation in all patients except one who needed general anesthesia. Light microscopy and Direct Immunofluorescence (DIF) report was made but no facility for electron microscopy. Gross hematuria was experienced in 5% cases and one case needed blood transfusion. There was one case with blood clot in urinary bladder causing dysuria but no urinary retention was observed. Post biopsy perinephric hematomas developed in 4 cases. Number of needle passes to obtain adequate biopsy material in native kidney was £3 in 78% cases. Adequate specimen was found in 95% cases. Conclusion: Percutaneous renal biopsy can be done adequately and safely in resource poor setup if pediatric nephrologist and radiologists are available. Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 9-12

The renal scan as an aid in percutaneous renal biopsy

JAMA ◽  
1966 ◽  
Vol 195 (11) ◽  
pp. 913-915 ◽  
Author(s):  
S. Baum
Keyword(s):  
Renal Biopsy ◽  
Percutaneous Renal Biopsy ◽  
Renal Scan

Yield and complications in percutaneous renal biopsy

1997 ◽  
Vol 38 (3) ◽  
pp. 431-436 ◽  
Author(s):  
R. S. Nyman ◽  
J. Cappelen-Smith ◽  
H. AL Suhaibani ◽  
O. Alfurayh ◽  
W. Shakweer ◽  
...  
Keyword(s):  
Renal Biopsy ◽  
Percutaneous Renal Biopsy

scholarly journals Safety of Renal Biopsy by Physicians with Short Nephrology Experience

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 474
Author(s):  
Kenta Torigoe ◽  
Kumiko Muta ◽  
Kiyokazu Tsuji ◽  
Ayuko Yamashita ◽  
Shinichi Abe ◽  
...  
Keyword(s):  
Renal Artery ◽  
Renal Biopsy ◽  
Renal Diseases ◽  
Complication Rates ◽  
Artery Embolization ◽  
Clinical Nephrology ◽  
Percutaneous Renal Biopsy ◽  
Artery Embolism ◽  
Renal Artery Embolization ◽  
Biopsy Complications

Percutaneous renal biopsy is an essential tool for diagnosing various renal diseases; however, little is known about whether renal biopsy performed by physicians with short nephrology experience is safe in Japan. This study included 238 patients who underwent percutaneous renal biopsy between April 2017 and September 2020. We retrospectively analyzed the frequency of post-renal biopsy complications (hemoglobin decrease of ≥10%, hypotension, blood transfusion, renal artery embolization, nephrectomy and death) and compared their incidence among physicians with varied experience in nephrology. After renal biopsy, a hemoglobin decrease of ≥10%, hypotension and transfusion occurred in 13.1%, 3.8% and 0.8% of patients, respectively. There were no cases of post-biopsy renal artery embolism, nephrectomy, or death. The composite complication rate was 16.0%. The incidence of post-biopsy complications was similar between physicians with ≥3 years and <3 years of clinical nephrology experience (12.5% vs. 16.8%, p = 0.64). Furthermore, the post-biopsy composite complication rates were similar between physicians with ≥6 months and <6 months of clinical nephrology experience (16.3% vs. 15.6%, p > 0.99). Under attending nephrologist supervision, a physician with short clinical nephrology experience can safely perform renal biopsy.

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