Real time US guided pediatric percutaneous renal biopsy: the traditional method vs angled tangential approach

'Aim: 'The aim of the present study was to compare the success and complication rates of pediatric renal biopsy procedures between the angled tangential approach and the traditional approach. 'Methods: 'From 2004 to 2009 we prospectively enrolled pediatric patients who had underg...

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Main Authors: KC Caliskan, G Ozcelik, E Cakmakci, SM Ulusay, AS Celebi, S Turk, A Ozagari, Z Karpat
Format: Article
Language:English
Published: Ubiquity Press 2014-07-01
Series:Journal of the Belgian Society of Radiology
Subjects:
Online Access:https://www.jbsr.be/articles/96
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author KC Caliskan
G Ozcelik
E Cakmakci
SM Ulusay
AS Celebi
S Turk
A Ozagari
Z Karpat
author_facet KC Caliskan
G Ozcelik
E Cakmakci
SM Ulusay
AS Celebi
S Turk
A Ozagari
Z Karpat
author_sort KC Caliskan
collection DOAJ
description 'Aim: 'The aim of the present study was to compare the success and complication rates of pediatric renal biopsy procedures between the angled tangential approach and the traditional approach. 'Methods: 'From 2004 to 2009 we prospectively enrolled pediatric patients who had undergone real time ultrasound guided renal biopsy with angled tangential approach. For comparison, we retrospectively reviewed pediatric patients who had undergone traditional renal biopsy between 2002 and 2004. Adequacy of renal tissue histopathological samples and the complication rates were compared between groups. 'Results: 'One hundred twenty-eight patients underwent traditional renal biopsy (Group A) while 166 patients underwent biopsy performed with angled tangential approach (Group B). The rate of inadequate material was higher in Group A compared to Group B (6.3% vs. 0.6%, p = 0.006). In four cases (three in Group A and one in Group B) renal biopsies revealed normal renal tissue. While a major complication (hemoperitoneum requiring transfusion) occurred in one case in Group A, no major complications were seen in Group B. 'Conclusion: 'Compared with the traditional technique, the angled tangential approach resulted in a higher adequate material rate and lower complication rate. These findings indicate that angled tangential approach could be considered for pediatric percutaneous renal biopsies.
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spelling doaj.art-e32f8e2354404ce786e2a66fb08f9a1e2022-12-21T18:21:19ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812014-07-0197420621010.5334/jbr-btr.9696Real time US guided pediatric percutaneous renal biopsy: the traditional method vs angled tangential approachKC Caliskan0G Ozcelik1E Cakmakci2SM Ulusay3AS Celebi4S Turk5A Ozagari6Z Karpat7Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, TurkeyDepartment of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, TurkeyDepartment of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, TurkeyDepartment of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, TurkeyDepartment of Anesthesia and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, TurkeyDepartment of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, TurkeyDepartment of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey'Aim: 'The aim of the present study was to compare the success and complication rates of pediatric renal biopsy procedures between the angled tangential approach and the traditional approach. 'Methods: 'From 2004 to 2009 we prospectively enrolled pediatric patients who had undergone real time ultrasound guided renal biopsy with angled tangential approach. For comparison, we retrospectively reviewed pediatric patients who had undergone traditional renal biopsy between 2002 and 2004. Adequacy of renal tissue histopathological samples and the complication rates were compared between groups. 'Results: 'One hundred twenty-eight patients underwent traditional renal biopsy (Group A) while 166 patients underwent biopsy performed with angled tangential approach (Group B). The rate of inadequate material was higher in Group A compared to Group B (6.3% vs. 0.6%, p = 0.006). In four cases (three in Group A and one in Group B) renal biopsies revealed normal renal tissue. While a major complication (hemoperitoneum requiring transfusion) occurred in one case in Group A, no major complications were seen in Group B. 'Conclusion: 'Compared with the traditional technique, the angled tangential approach resulted in a higher adequate material rate and lower complication rate. These findings indicate that angled tangential approach could be considered for pediatric percutaneous renal biopsies.https://www.jbsr.be/articles/96Kidneybiopsy – Ultrasound (USguidance)
spellingShingle KC Caliskan
G Ozcelik
E Cakmakci
SM Ulusay
AS Celebi
S Turk
A Ozagari
Z Karpat
Real time US guided pediatric percutaneous renal biopsy: the traditional method vs angled tangential approach
Journal of the Belgian Society of Radiology
Kidney
biopsy – Ultrasound (US
guidance)
title Real time US guided pediatric percutaneous renal biopsy: the traditional method vs angled tangential approach
title_full Real time US guided pediatric percutaneous renal biopsy: the traditional method vs angled tangential approach
title_fullStr Real time US guided pediatric percutaneous renal biopsy: the traditional method vs angled tangential approach
title_full_unstemmed Real time US guided pediatric percutaneous renal biopsy: the traditional method vs angled tangential approach
title_short Real time US guided pediatric percutaneous renal biopsy: the traditional method vs angled tangential approach
title_sort real time us guided pediatric percutaneous renal biopsy the traditional method vs angled tangential approach
topic Kidney
biopsy – Ultrasound (US
guidance)
url https://www.jbsr.be/articles/96
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AT ecakmakci realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach
AT smulusay realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach
AT ascelebi realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach
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