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...
Main Authors: | , , , , , , , |
---|---|
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 |
_version_ | 1819155197035806720 |
---|---|
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. |
first_indexed | 2024-12-22T15:33:08Z |
format | Article |
id | doaj.art-e32f8e2354404ce786e2a66fb08f9a1e |
institution | Directory Open Access Journal |
issn | 2514-8281 |
language | English |
last_indexed | 2024-12-22T15:33:08Z |
publishDate | 2014-07-01 |
publisher | Ubiquity Press |
record_format | Article |
series | Journal of the Belgian Society of Radiology |
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 |
work_keys_str_mv | AT kccaliskan realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach AT gozcelik realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach AT ecakmakci realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach AT smulusay realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach AT ascelebi realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach AT sturk realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach AT aozagari realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach AT zkarpat realtimeusguidedpediatricpercutaneousrenalbiopsythetraditionalmethodvsangledtangentialapproach |