Results obtained from a series of ultrasound guided per-cutaneous renal biopsies in a pediatric population: Our experience in 15 years [Resultados de una serie de biopsias renales percutáneas guiadas ecográficamente en una población pediátrica: Nuestra experiencia en 15 años]
Vila Cots J.,Seccion de Nefrologia |
Ribo Aristizabal J.L.,Servicio de Radiologia |
Sunol Capella M.,Hospital Sant Joan Of Deu |
Camacho Diaz J.A.,Seccion de Nefrologia |
And 3 more authors.
Acta Pediatrica Espanola | Year: 2010
Objectives: We present our experience on ultrasound guided percutaneous renal biopsies in pediatric patients from the beginning that this technique was established in our hospital, to value the clinical/anatomopathologic correlation as well as the complications of the technique. Patients and methods: Retrospective study of 180 ultrasound guided percutaneous renal biopsies over a total of 164 patients (aged from 6 months to 18 years) in a period of 15 years. The protocol biopsy includes its carrying out in the operating room by means of sedation and also the realization of an ultrasound after 24 hours. Results: The most frequent reason for doing the biopsy was the presence of a corticoid dependent/resistant nephrotic syndrome (29.4%) followed by different levels of. The most frequent anatomopathological diagnostic was glomerulonephritis with IgA mesangial deposits (26.1%) followed by minimal glomerular changes, confirming in the majority of the cases the initial clinical suspicion. Only in one case a severe complication was detected (renal hematoma/arterial hypotension) in a high-risk patient. Conclusions: In our experience, the percutaneous renal biopsies are a reliable and a safe diagnostic method regardless of age.