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 ORIGINAL ARTICLE
Year : 2010  |  Volume : 20  |  Issue : 2  |  Page : 76-79

Percutaneous ultrasound-guided renal biopsy: A Libyan experience


1 Department of Radiology, National Organ Transplant Center, Central Hospital, Tripoli, Libya
2 Department of Rheumatology, Tripoli Medical Center, University of AlFateh, Tripoli, Libya
3 Department of Histopathology, Tripoli Medical Center, Tripoli, Libya
4 Zawia Clinical Laboratory, Tripoli, Libya
5 Department of General Surgery, Central Hospital, AlFateh University, Tripoli, Libya
6 Department of Nephrology, National Organ Transplant Center, Tripoli, Libya
7 Department of Surgery and Transplant, Central Hospital, University of AlFateh, Tripoli, Libya

Correspondence Address:
A Mishra
National Organ Transplant Centre, P. O. Box 7913, Tripoli
Libya
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.65299

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This study was done to assess the safety and efficacy of ultrasound-guided percutaneous renal biopsy (PRB), to ascertain the risk factors for complications and determine the optimal period of observation. The radiologist (A.M.) at the National Organ Transplant Centre, Central Hospital, Tripoli, Libya, performed 86 PRBs between February 1, 2006, and January 31, 2008, using an automated biopsy gun with 16-gauge needle. Coagulation profile was done in all the patients. All patients were kept on strict bed rest for six hours post-procedure. Eighty six renal biopsies were performed on 78 patients referred from rheumatology department and eight post-kidney transplant recipients; 23 were males with age range 15 - 56 years and 63 females with age range 16 - 66 years. A mean of 17.5 glomeruli were present in each specimen. A glomerular yield of less than five glomeruli was seen in four biopsies. Class I lupus nephritis (LN) was seen in 1 patient, class II lupus nephritis in 7 patients, class III LN in 13 patients and class IV LN in 29 patients. All the eight renal allografts were diagnosed as acute tubular necrosis or acute interstitial rejection. The risk of post-biopsy bleeding was higher in women, older patients and higher PTT. The overall complication rate was 5.8%. Three complications were observed within six hours of biopsy. No late complication was seen. PRB under real-time ultrasound-guidance is a safe and efficacious procedure to establish the histological diagnosis and should be done as out-patient procedure. Observation time of six hours post-biopsy is optimal.






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Indian Journal of Nephrology
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