Emin Cakmakci1, Kosti Can Caliskan1, Ozlem Kolcak Turkoglu1, Selma Cakmakci1, Gul Ozcelik1, Engin Yilmaz1, Sebnem Turk1, Aysim Ozagari1, Berna Ucan1. 1. 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
Abstract
AIM: Pediatric renal biopsy may result in serious hemorrhagic complications, requiring additional diagnostic procedures, blood transfusion, vascular interventions, and prolongation of hospitalization. The aim of the present study was to propose the angled tangential approach technique for real-time ultrasound-guided pediatric percutaneous renal biopsy. METHODS: A retrospective analysis of 166 percutaneous biopsies from June 2004 to May 2009 was performed. Patients' medical records, pathology results, and complications were reviewed. RESULTS: No major complications were seen in the study group. The most frequently occurring minor complication was macroscopic hematuria, which occurred at the rate of 9.6%. Hematoma was detected in three cases and regressed spontaneously in all cases. CONCLUSIONS: The angled tangential approach is a safe technique and an alternative option in pediatric percutaneous renal biopsies.
AIM: Pediatric renal biopsy may result in serious hemorrhagic complications, requiring additional diagnostic procedures, blood transfusion, vascular interventions, and prolongation of hospitalization. The aim of the present study was to propose the angled tangential approach technique for real-time ultrasound-guided pediatric percutaneous renal biopsy. METHODS: A retrospective analysis of 166 percutaneous biopsies from June 2004 to May 2009 was performed. Patients' medical records, pathology results, and complications were reviewed. RESULTS: No major complications were seen in the study group. The most frequently occurring minor complication was macroscopic hematuria, which occurred at the rate of 9.6%. Hematoma was detected in three cases and regressed spontaneously in all cases. CONCLUSIONS: The angled tangential approach is a safe technique and an alternative option in pediatric percutaneous renal biopsies.
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