A “Real-time Ultrasound-Guided Percutaneous Renal Biopsy with an Automated Biopsy Gun” Experience in an Incipient Pediatric Nephrology Unit

Yıl 2019, Cilt: 7 Sayı: Ek - IRUPEC 2019 Kongresi Tam Metin Bildirileri, 425 - 426, 10.12.2019

Behcet Şimşek

Öz

Renal biopsy is an important diagnostic procedure for pediatric nephrologists; however it has added difficulties of patient size and ability to cooperate in children. Percutaneous renal biopsy (PRB) is currently the standard of technique. Although safety of the procedure and diagnostic yield, considerably improved with “automated spring-loaded biopsy device”, serious complications might still be observed. There is paucity of data on PRB outcomes in children (1,2,4,5,6.
On the other hand, A renal biopsy is regarded as one of the essential skills to be acquired by pediatric nephrology trainees, however; in recent years PRBs have been taken over by non-nephrologists in many instituitions. Eventually young nephrologists are faced with the risk of missing the technical expertise to perform a renal biopsy due to lack of training and feeling dissatisfaction with their career choice (3).
The aim of this study is to investigate biopsies carried out in an incipient Pediatric Nephrology Unit of a tertiary hospital with regard to sample adequacy and complications.

Anahtar Kelimeler

A “Real-time

Kaynakça

• References: 1. Hogan JJ, Mocanu M, Berns JS, The native kidney biopsy: Update and evidence of best practice Clin J Am Soc Nephrol 11: 354–362, 2016. doi: 10.2215/CJN.05750515 2. Fogo AB,Approach to renal biopsy. AJKD, Vol 42, No 4 (October), 2003: pp 826-836 doi: 10.1053/S0272-6386(03)01054-0 3. Esposito V, Mazzon G, Baiardi P et al. Safety and adequacy of percutaneous kidney biopsy performed by nephrology trainees. BMC Nephrology (2018) 19:14 doi: 10.1186/s12882-017-0796-y 4. Golay V, Roychowdhury A. The percutaneous native kidney biopsy: a nephrologist’s perspective. OA Nephrology 2013 May 27;1(1):8. 5. Pendón-Ruiz de Mier MV, Hernández ME, Cristian Rodelo-Haad CR, et.al. Prospective study of the complications associated with percutaneous renal biopsy of native kidneys Nefrologia 2014; 34(3):383-7doi:10.3265/Nefrologia.pre2014.Jan.12323 6. Hussain F, Mallik M, Marks SD et.al. on behalf of the British Association of Paediatric Nephrology. Renal biopsies in children: current practice and audit of outcomes. Nephrol Dial Transplant (2010) 25: 485–489 doi: 10.1093/ndt/gfp434