Original scientific paper
https://doi.org/10.20471/acc.2021.60.s1.19
Percutaneous Renal Biopsies in General Hospital Karlovac Between 2009 and 2020 - Our Results
Vlasta Kupres
; Department of Internal Medicine, Department of Nephrology with Haemodialysis, General Hospital Karlovac, Karlovac, Croatia
Davorin Katušin
; Department of Urology, General Hospital Karlovac, Karlovac, Croatia
Žarko Belavić
; Polyclinic IDC Zabok, Fresenius Medical Care Croatia, Zabok, Croatia
Abstract
We analyse data of 60 patients submitted to renal biopsy in General Hospital
Karlovac between 2009 and 2020. The biopsies were performed percutaneously under ultrasound
guidance. Biopsy material was analysed by nephropathologists either in Clinical Hospital Dubrava or
in University Hospital Centre Zagreb using light, immunofluorescence, and electron microscopy. Indications
for biopsies were nephrotic syndrome in 26 (43.3%) patients, nephritic syndrome in 12
(20.0%) patients, unclear renal failure in 12 (20.0%) patients and suspect rapidly progressive glomerulonephritis
in 10 (16.7%) patients. Pathological diagnosis was made in 57 (95.0%) patients. The most
common primary glomerulonephritis was IgA nephropathy diagnosed in 8 (13.3%) patients. Among
secondary glomerular diseases, pauci-immune crescentic glomerulonephritis was the most observed
– in 12 patients
(20.0%). The complications after the procedure were noticed in 5 (8.3%) patients (3
patients with perirenal bleeding and 2 patients with macroscopic haematuria). Microscopic haematuria
was present in 20 (33.3%) patients. No complication required surgical treatment. Percutaneous
renal biopsy
under ultrasound guidance is a safe diagnostic procedure that can provide a definitive
diagnosis as a requirement to introducing different (immunosuppressive) treatment.
Keywords
Percutaneous renal biopsy; Indications; Complications; Results
Hrčak ID:
260415
URI
Publication date:
1.1.2021.
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