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Ultrasound-Guided Percutaneous Renal Biopsy in Children by Automated Biopsy Gun
Author(s):
1. NAJMUL HASAN: 260/1-C, Phase: 5, Defence Housing Authority, Lahore, Pakistan
Abstract:
Objective: To study and evaluate the accuracy and safety of automated biopsy gun for collection of renal tissue sample in children. Design: Hospital based prospective study. Place and Duration: Department of Pediatric Medicine, Combined Military Hospital, Lahore, July 2005 –July 2010.   Methodology: Fifty children having known nephrotic syndrome (steroid dependent, steroid resistant and frequently relapsing), were subjected to ultrasound-guided percutaneous renal biopsy with the help of automated biopsy gun (16G or 18G needle size) under local anesthesia in 1-3 attempts in each patient and followed by a post-biopsy observation for 24 hours. Results: With a male preponderance of 38 (76%) patients, the age ranged from 2 to 14 years with a mean±SD (7.20 ±3.41) years. Adequate renal tissue specimen was obtained in 48 (96%) cases while 2 (4%) tissue samples were inadequate. Core length of tissue sample was mean ±SD (1.04 ±0.37) and the number of glomeruli per tissue specimen remained mean±SD (13.07±3.62). Five patients developed small perinephric hematoma <2 cm size. Conclusion: Ultrasound-guided percutaneous renal biopsy in children is a fairly accurate and safe procedure. Observation for 24 hours ensures to identify any complications.
Page(s): 50-54
DOI: DOI not available
Published: Journal: Pakistan Paediatric Journal, Volume: 37, Issue: 1, Year: 2013
Keywords:
Safety , Complications , automated biopsy gun , Pediatric renal biopsy
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