Author/Authors :
Ip, E. C. East Coast Renal Transplant Service - Sydney Children’s Hospital Randwick - Department of Transplant Surgery, Australia , Kirby, R. E. East CoastRenal Transplant Service - Sydney Children’s Hospital Randwick - Department of Transplant Surgery, Australia , Craig, E. East Coast RenalTransplant Service - Sydney Children’sHospital Randwick - Department of Nephrology, Australia , Mackie, F. E. East Coast Renal Transplant Service - Sydney Children’sHospital Randwick - Department of Nephrology, Australia , Mackie, F. E. University of New South Wales, Australia , Kennedy, S. E. East Coast Renal Transplant Service - Sydney Children’sHospital Randwick - Department of Nephrology, Australia , Rosenberg, A. R. East Coast Renal Transplant Service - Sydney Children’sHospital Randwick - Department of Nephrology, Australia , Rosenberg, A. R. University of New South Wales, Australia , Kainer, G. East Coast Renal Transplant Service - Sydney Children’s Hospital Randwick - Department of Nephrology,, Australia , Frawley, J. E. East Coast Renal Transplant Service - SydneyChildren’s Hospital Randwick - Department of Transplant Surgery, Australia , Haghighi, K. S. East Coast Renal Transplant Service - Sydney Children’s Hospital Randwick - Department of Transplant Surgery, Australia , Haghighi, K. S. University of New South Wales, Australia
Abstract :
Background: The gold standard for investigating the cause of renal graft dysfunction is renal biopsy. However, as this procedure is invasive and has inherent risks, its safety must be established. Objective: To determine the safety of percutaneous renal biopsy in pediatric orthotopic renal transplantation. Methods: Percutaneous renal biopsies performed on pediatric orthotopic renal transplants in a single cen- ter between 1987 and 2010 were studied. Biopsy specimen adequacy and post-procedure complications were reviewed by prospectively collected data. Results: A total of 54 ultrasound real-time guided biopsies in 25 patients were performed. Minimum specimen adequacy was achieved in 98% of biopsy specimens. No major complications were identified; 6% of patients developed minor complications—e.g., grade 3 macroscopic hematuria that did not require intervention. Conclusion: Percutaneous renal biopsies using real-time ultrasound guidance on pediatric orthotopic kid- ney transplants is safe.
Keywords :
Kidney transplantation , Biopsy , Safety , Pediatrics
