Clinical audit; freehand renal biopsy, still a suitable method?
Introduction: Freehand renal biopsy represents a valid alternative to the most widespread ultrasonography-guided technique, although some concerns can derive from the possible increased complication rate and lower adequacy rate. Objectives: In the present audit study, efficacy of freehand method hav...
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| Format: | Article |
| Language: | English |
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Society of Diabetic Nephropathy Prevention
2022-09-01
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| Series: | Journal of Nephropathology |
| Subjects: | |
| Online Access: | https://nephropathol.com/PDF/jnp-11-e17308.pdf |
| _version_ | 1827948625491132416 |
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| author | Maurizio Garozzo Fabio Pagni Vincenzo L'Imperio Giovanni Giorgio Battaglia |
| author_facet | Maurizio Garozzo Fabio Pagni Vincenzo L'Imperio Giovanni Giorgio Battaglia |
| author_sort | Maurizio Garozzo |
| collection | DOAJ |
| description | Introduction: Freehand renal biopsy represents a valid alternative to the most widespread ultrasonography-guided technique, although some concerns can derive from the possible increased complication rate and lower adequacy rate. Objectives: In the present audit study, efficacy of freehand method have been established through the analysis of 328 consecutive renal biopsies in 322 patients, instead the safety of the procedure was assessed in 196 patients. Patients and Methods: We retrospectively reviewed hospital databases of all patients who underwent a percutaneous renal biopsy over an 18 years’ period at Santa Marta and Santa Venera hospital in Acireale. Results: The procedure led to a definitive diagnosis in the majority of cases (98.48%), being uninformative only in 5 out of 328 cases (1.52%). Comparing these results against a Proforma, resulting from analysis of best literature reports for the items studied, adverse event rates were similar. Conclusion: Freehand renal biopsy resulted a good option to obtain renal tissue, without serious side effects. We argue about safety and we prefer to reserve this invasive procedure to selected cases, avoiding renal biopsy if biochemical and instrumental data allow a definitive diagnosis as well as in high risk patients. Our policy protects patients from the adverse effects that can result from kidney biopsy. |
| first_indexed | 2024-04-09T12:58:15Z |
| format | Article |
| id | doaj.art-79ff5b9ccefa45fbb412c9ba971b6bda |
| institution | Directory Open Access Journal |
| issn | 2251-8363 2251-8819 |
| language | English |
| last_indexed | 2024-04-09T12:58:15Z |
| publishDate | 2022-09-01 |
| publisher | Society of Diabetic Nephropathy Prevention |
| record_format | Article |
| series | Journal of Nephropathology |
| spelling | doaj.art-79ff5b9ccefa45fbb412c9ba971b6bda2023-05-13T11:01:32ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192022-09-01114e17308e1730810.34172/jnp.2022.17308jnp-17308Clinical audit; freehand renal biopsy, still a suitable method?Maurizio Garozzo0Fabio Pagni1Vincenzo L'Imperio2Giovanni Giorgio Battaglia3Department of Nephrology, Santa Marta e Santa Venera Hospital, Acireale, ASP Catania, ItalyDepartment of Medicine and Surgery, Pathology, Università degli studi di Milano-Bicocca, ASST Monza, ItalyDepartment of Medicine and Surgery, Pathology, Università degli studi di Milano-Bicocca, ASST Monza, ItalyDepartment of Nephrology, Santa Marta e Santa Venera Hospital, Acireale, ASP Catania, ItalyIntroduction: Freehand renal biopsy represents a valid alternative to the most widespread ultrasonography-guided technique, although some concerns can derive from the possible increased complication rate and lower adequacy rate. Objectives: In the present audit study, efficacy of freehand method have been established through the analysis of 328 consecutive renal biopsies in 322 patients, instead the safety of the procedure was assessed in 196 patients. Patients and Methods: We retrospectively reviewed hospital databases of all patients who underwent a percutaneous renal biopsy over an 18 years’ period at Santa Marta and Santa Venera hospital in Acireale. Results: The procedure led to a definitive diagnosis in the majority of cases (98.48%), being uninformative only in 5 out of 328 cases (1.52%). Comparing these results against a Proforma, resulting from analysis of best literature reports for the items studied, adverse event rates were similar. Conclusion: Freehand renal biopsy resulted a good option to obtain renal tissue, without serious side effects. We argue about safety and we prefer to reserve this invasive procedure to selected cases, avoiding renal biopsy if biochemical and instrumental data allow a definitive diagnosis as well as in high risk patients. Our policy protects patients from the adverse effects that can result from kidney biopsy.https://nephropathol.com/PDF/jnp-11-e17308.pdfrenal biopsysafetyrenal tissue |
| spellingShingle | Maurizio Garozzo Fabio Pagni Vincenzo L'Imperio Giovanni Giorgio Battaglia Clinical audit; freehand renal biopsy, still a suitable method? Journal of Nephropathology renal biopsy safety renal tissue |
| title | Clinical audit; freehand renal biopsy, still a suitable method? |
| title_full | Clinical audit; freehand renal biopsy, still a suitable method? |
| title_fullStr | Clinical audit; freehand renal biopsy, still a suitable method? |
| title_full_unstemmed | Clinical audit; freehand renal biopsy, still a suitable method? |
| title_short | Clinical audit; freehand renal biopsy, still a suitable method? |
| title_sort | clinical audit freehand renal biopsy still a suitable method |
| topic | renal biopsy safety renal tissue |
| url | https://nephropathol.com/PDF/jnp-11-e17308.pdf |
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