Indications for Percutaneous Ultrasound-Guided Renal Biopsy and Complications Associated with it: An Observational Study
Renal biopsy is performed for various reasons depending on the clinical manifestations presented. Although percutaneous kidney biopsy is a safe procedure, major or minor complications could occur. Our study aimed to assess the indications for percutaneous renal biopsy and complications associated w...
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Troika Publisher
2022-12-01
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| Series: | Journal of Renal and Hepatic Disorders |
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| Online Access: | http://mail.jrenhep.com/index.php/jrenhep/article/view/149 |
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| author | Mohammad Ashraf Bhat Shahid Sulayman Manzoor Ahmad Parry Muzaffar Maqsood Wani Imtiyaz Ahmad Wani |
| author_facet | Mohammad Ashraf Bhat Shahid Sulayman Manzoor Ahmad Parry Muzaffar Maqsood Wani Imtiyaz Ahmad Wani |
| author_sort | Mohammad Ashraf Bhat |
| collection | DOAJ |
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Renal biopsy is performed for various reasons depending on the clinical manifestations presented. Although percutaneous kidney biopsy is a safe procedure, major or minor complications could occur. Our study aimed to assess the indications for percutaneous renal biopsy and complications associated with the procedure. This was a prospective observational study conducted in the Department of Nephrology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India. Patients who underwent percutaneous ultrasound-guided renal biopsy at the institute between October 2017 and June 2019 were enrolled in the study. Data regarding indications for performing a percutaneous renal biopsy and incidence of minor and major post-biopsy complications were collected. A total of 229 patients who underwent ultrasound-guided percutaneous renal biopsy were enrolled in the study. The most common indications for ultrasound-guided percutaneous renal biopsy were nephrotic syndrome (33.3%), subnephrotic proteinuria with azotemia (14%), and unexplained azotemia with proteinuria and hematuria (13.5%). Post-biopsy complications were observed in 89 (37.55%) patients. Minor complications developed in 83 (36.22%) patients and major complications in six (2.62%) patients. Among patients with major complications, two (0.87%) patients underwent invasive procedures (embolization and cystoscopic removal of bladder clot) and four patients developed hemodynamic instability. No procedure-related mortality was reported in the study. The most common indications for renal biopsy were nephrotic syndrome, subnephrotic proteinuria with azotemia, unexplained azotemia with proteinuria, and hematuria. The incidence of major complications was low.
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| format | Article |
| id | doaj-art-0212f33cd8964d60be3c7c3d69b9f2a7 |
| institution | Matheson Library |
| issn | 2207-3744 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Troika Publisher |
| record_format | Article |
| series | Journal of Renal and Hepatic Disorders |
| spelling | doaj-art-0212f33cd8964d60be3c7c3d69b9f2a72025-07-02T00:18:56ZengTroika PublisherJournal of Renal and Hepatic Disorders2207-37442022-12-016210.15586/jrenhep.v6i2.149Indications for Percutaneous Ultrasound-Guided Renal Biopsy and Complications Associated with it: An Observational StudyMohammad Ashraf Bhat0Shahid Sulayman1Manzoor Ahmad Parry2Muzaffar Maqsood Wani3Imtiyaz Ahmad Wani4Department of Nephrology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.Department of Nephrology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.Department of Nephrology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.Department of Nephrology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India. Renal biopsy is performed for various reasons depending on the clinical manifestations presented. Although percutaneous kidney biopsy is a safe procedure, major or minor complications could occur. Our study aimed to assess the indications for percutaneous renal biopsy and complications associated with the procedure. This was a prospective observational study conducted in the Department of Nephrology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India. Patients who underwent percutaneous ultrasound-guided renal biopsy at the institute between October 2017 and June 2019 were enrolled in the study. Data regarding indications for performing a percutaneous renal biopsy and incidence of minor and major post-biopsy complications were collected. A total of 229 patients who underwent ultrasound-guided percutaneous renal biopsy were enrolled in the study. The most common indications for ultrasound-guided percutaneous renal biopsy were nephrotic syndrome (33.3%), subnephrotic proteinuria with azotemia (14%), and unexplained azotemia with proteinuria and hematuria (13.5%). Post-biopsy complications were observed in 89 (37.55%) patients. Minor complications developed in 83 (36.22%) patients and major complications in six (2.62%) patients. Among patients with major complications, two (0.87%) patients underwent invasive procedures (embolization and cystoscopic removal of bladder clot) and four patients developed hemodynamic instability. No procedure-related mortality was reported in the study. The most common indications for renal biopsy were nephrotic syndrome, subnephrotic proteinuria with azotemia, unexplained azotemia with proteinuria, and hematuria. The incidence of major complications was low. http://mail.jrenhep.com/index.php/jrenhep/article/view/149azotemiacomplicationsnephrotic syndromepercutaneous ultrasound-guided renal biopsyrenal biopsy |
| spellingShingle | Mohammad Ashraf Bhat Shahid Sulayman Manzoor Ahmad Parry Muzaffar Maqsood Wani Imtiyaz Ahmad Wani Indications for Percutaneous Ultrasound-Guided Renal Biopsy and Complications Associated with it: An Observational Study Journal of Renal and Hepatic Disorders azotemia complications nephrotic syndrome percutaneous ultrasound-guided renal biopsy renal biopsy |
| title | Indications for Percutaneous Ultrasound-Guided Renal Biopsy and Complications Associated with it: An Observational Study |
| title_full | Indications for Percutaneous Ultrasound-Guided Renal Biopsy and Complications Associated with it: An Observational Study |
| title_fullStr | Indications for Percutaneous Ultrasound-Guided Renal Biopsy and Complications Associated with it: An Observational Study |
| title_full_unstemmed | Indications for Percutaneous Ultrasound-Guided Renal Biopsy and Complications Associated with it: An Observational Study |
| title_short | Indications for Percutaneous Ultrasound-Guided Renal Biopsy and Complications Associated with it: An Observational Study |
| title_sort | indications for percutaneous ultrasound guided renal biopsy and complications associated with it an observational study |
| topic | azotemia complications nephrotic syndrome percutaneous ultrasound-guided renal biopsy renal biopsy |
| url | http://mail.jrenhep.com/index.php/jrenhep/article/view/149 |
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