Resultados de una serie de biopsias renales percutáneas guiadas ecográficamente en una población pediátrica: nuestra experiencia en 15 años/Results obtained from a series of ultrasound guided percutaneous renal biopsies in a pediatric population: our experience in 15 years

• Published in: Acta pediátrica española Vol. 68; no. 10; p. 493
• Main Authors: Cots, J Vila, Aristizabal, J L Ribó, Capella, M Suñol, Díaz, J A Camacho, Llort, A Giménez, Santandreu, A Vila, Cebrián, M Ramos
• Format: Journal Article
• Language: Spanish
• Published: Madrid Ediciones Mayo 01.11.2010
• Subjects: Biopsy; Kidneys; Pediatrics; Ultrasonic imaging
• ISSN: 0001-6640; 2014-2986

We present our experience on ultrasound guided percutaneous renal biopsies in pediatric patients from the beginning that this technique was established in our hospital, to value the clinical/anatomopathologic correlation as well as the complications of the technique. Retrospective study of 180 ultrasound guided percutaneous renal biopsies over a total of 164 patients (aged from 6 months to 18 years) in a period of 15 years. The protocol biopsy includes its carrying out in the operating room by means of sedation and also the realization of an ultrasound after 24 hours. The most frequent reason for doing the biopsy was the presence of a corticoid dependent/resistant nephrotic syndrome (29.4%) followed by different levels of. The most frequent anatomopathological diagnostic was glomerulonephritis with IgA mesangial deposits (26.1%) followed by minimal glomerular changes, confirming in the majority of the cases the initial clinical suspicion. Only in one case a severe complication was detected (renal hematoma/arterial hypotension) in a high-risk patient. In our experience, the percutaneous renal biopsies are a reliable and a safe diagnostic method regardless of age.