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Ultrasound guided percutaneous biopsy or operative biopsy in patients with renal impairment?

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Abstract

Sixty-four percutaneous renal biopsies under ultrasound guidance done in 60 patients with renal impairment are compared with 33 open, operative biopsies. In 62 percutaneous biopsies (96.8%), more than 3 glomeruli could be obtained. Eight biopsies (12.5%) presented with minor complications afterwards. All of them were spontaneously reversible. In the operative biopsy group, there were complications in 6 patients (18.2%). In 2 cases, operative revision was necessary.

In conclusion, percutaneous ultrasound guided biopsy in experienced hands offers several advantages in patients with renal impairment. It must be kept in mind that from a minority of patients only an operative biopsy can be taken due to certain risks.

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Authors and Affiliations

  1. Department of Nephrology, University of Düsseldorf, FRG

    D. Bach, M. Hanraths & B. Grabensee

  2. Department of Urology, University of Düsseldorf, FRG

    K. Maar

Authors
  1. D. Bach
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  2. M. Hanraths
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  3. K. Maar
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  4. B. Grabensee
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Bach, D., Hanraths, M., Maar, K. et al. Ultrasound guided percutaneous biopsy or operative biopsy in patients with renal impairment?. International Urology and Nephrology 20, 519–523 (1988). https://doi.org/10.1007/BF02550614

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  • DOI: https://doi.org/10.1007/BF02550614

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