Erciyes Tip Dergisi, cilt.32, sa.1, ss.23-26, 2010 (SCI-Expanded)
Purpose: To evaluate the effectiveness and safety of US guided renal biopsies with 16G semi-automated biopsy needles. Material and Methods: Renal biopsies obtained with 16G semi-automated biopsy needle between the years 2005-2007 were included into the study. Free hand technique under US guidance was used. The biopsies were categorized as the ones obtained from a lesion and the ones obtained for parenchymal disease. The pathology results were noted and effectiveness was calculated. Major (need for blood transfusion, radiological intervention or surgical intervention, acute renal obstruction or failure, septicemia and death) and minor (pain and hematuria) complications were noted. Results: There were 32 patients in the lesion group and 73 patients in parenchymal disease group. In five patients the biopsy material was not suitable for a pathological diagnosis. In three patients biopsies were obtained from the necrotic part of the lesion and in two patients parenchymal biopsy was inadequately obtained from the medulla. All other biopsies were sufficient and appropriate for a pathological diagnosis. So the success rate was %95,1 for all biopsies, %90,62 for lesion biopsies, and %97,26 for parenchymal biopsies. Minor complications were seen in six patients. Conclusion: Renal biopsies with 16G semi-automated biopsy needles under US guidance are effective and safe.