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Safety of Obtaining an Extra Biobank Kidney Biopsy Core

Background and objectives: Kidney biopsy (KB) is the “gold standard” for the diagnosis of nephropathies and it is a diagnostic tool that presents a low rate of complications. Nowadays, biobank collections of renal tissue of patients with proven renal pathology are essential for research in nephrolog...

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Autores principales: Bermejo, Sheila, García-Carro, Clara, Mast, Richard, Vergara, Ander, Agraz, Irene, León, Juan Carlos, Bolufer, Monica, Gabaldon, Maria-Alejandra, Serón, Daniel, Bestard, Oriol, Soler, Maria Jose
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911133/
https://www.ncbi.nlm.nih.gov/pubmed/35268550
http://dx.doi.org/10.3390/jcm11051459
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author Bermejo, Sheila
García-Carro, Clara
Mast, Richard
Vergara, Ander
Agraz, Irene
León, Juan Carlos
Bolufer, Monica
Gabaldon, Maria-Alejandra
Serón, Daniel
Bestard, Oriol
Soler, Maria Jose
author_facet Bermejo, Sheila
García-Carro, Clara
Mast, Richard
Vergara, Ander
Agraz, Irene
León, Juan Carlos
Bolufer, Monica
Gabaldon, Maria-Alejandra
Serón, Daniel
Bestard, Oriol
Soler, Maria Jose
author_sort Bermejo, Sheila
collection PubMed
description Background and objectives: Kidney biopsy (KB) is the “gold standard” for the diagnosis of nephropathies and it is a diagnostic tool that presents a low rate of complications. Nowadays, biobank collections of renal tissue of patients with proven renal pathology are essential for research in nephrology. To provide enough tissue for the biobank collection, it is usually needed to obtain an extra kidney core at the time of kidney biopsy. The objective of our study is to evaluate the complications after KB and to analyze whether obtaining an extra core increases the risk of complications. Material and methods: Prospective observational study of KBs performed at Vall d’Hebron Hospital between 2019 and 2020. All patients who accepted to participate to our research biobank of native kidney biopsies were included to the study. Clinical and laboratory data were reviewed and we studied risk factors associated with complications. Results: A total of 221 patients were included, mean age 56.6 (±16.8) years, 130 (58.8%) were men, creatinine was 2.24 (±1.94) mg/dL, proteinuria 1.56 (0.506–3.590) g/24 h, hemoglobin 12.03 (±2.3) g/dL, INR 0.99 (±0.1), and prothrombin time (PT) 11.86 (±1.2) s. A total of 38 patients (17.2%) presented complications associated with the procedure: 13.1% were minor complications, 11.3% (n = 25) required blood transfusion, 1.4% (n = 3) had severe hematomas, 2.3% (n = 5) required embolization, and 0.5% (n = 1) presented arterio-venous fistula. An increased risk for complication was independently associated with obtaining a single kidney core (vs. 2 and 3 cores) (p = 0.021). Conclusions: KB is an invasive and safe procedure with a low percentage of complications. Obtaining an extra kidney core for research does not increase the risk of complications during the intervention, which remains low in concordance with previously published reports.
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spelling pubmed-89111332022-03-11 Safety of Obtaining an Extra Biobank Kidney Biopsy Core Bermejo, Sheila García-Carro, Clara Mast, Richard Vergara, Ander Agraz, Irene León, Juan Carlos Bolufer, Monica Gabaldon, Maria-Alejandra Serón, Daniel Bestard, Oriol Soler, Maria Jose J Clin Med Article Background and objectives: Kidney biopsy (KB) is the “gold standard” for the diagnosis of nephropathies and it is a diagnostic tool that presents a low rate of complications. Nowadays, biobank collections of renal tissue of patients with proven renal pathology are essential for research in nephrology. To provide enough tissue for the biobank collection, it is usually needed to obtain an extra kidney core at the time of kidney biopsy. The objective of our study is to evaluate the complications after KB and to analyze whether obtaining an extra core increases the risk of complications. Material and methods: Prospective observational study of KBs performed at Vall d’Hebron Hospital between 2019 and 2020. All patients who accepted to participate to our research biobank of native kidney biopsies were included to the study. Clinical and laboratory data were reviewed and we studied risk factors associated with complications. Results: A total of 221 patients were included, mean age 56.6 (±16.8) years, 130 (58.8%) were men, creatinine was 2.24 (±1.94) mg/dL, proteinuria 1.56 (0.506–3.590) g/24 h, hemoglobin 12.03 (±2.3) g/dL, INR 0.99 (±0.1), and prothrombin time (PT) 11.86 (±1.2) s. A total of 38 patients (17.2%) presented complications associated with the procedure: 13.1% were minor complications, 11.3% (n = 25) required blood transfusion, 1.4% (n = 3) had severe hematomas, 2.3% (n = 5) required embolization, and 0.5% (n = 1) presented arterio-venous fistula. An increased risk for complication was independently associated with obtaining a single kidney core (vs. 2 and 3 cores) (p = 0.021). Conclusions: KB is an invasive and safe procedure with a low percentage of complications. Obtaining an extra kidney core for research does not increase the risk of complications during the intervention, which remains low in concordance with previously published reports. MDPI 2022-03-07 /pmc/articles/PMC8911133/ /pubmed/35268550 http://dx.doi.org/10.3390/jcm11051459 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bermejo, Sheila
García-Carro, Clara
Mast, Richard
Vergara, Ander
Agraz, Irene
León, Juan Carlos
Bolufer, Monica
Gabaldon, Maria-Alejandra
Serón, Daniel
Bestard, Oriol
Soler, Maria Jose
Safety of Obtaining an Extra Biobank Kidney Biopsy Core
title Safety of Obtaining an Extra Biobank Kidney Biopsy Core
title_full Safety of Obtaining an Extra Biobank Kidney Biopsy Core
title_fullStr Safety of Obtaining an Extra Biobank Kidney Biopsy Core
title_full_unstemmed Safety of Obtaining an Extra Biobank Kidney Biopsy Core
title_short Safety of Obtaining an Extra Biobank Kidney Biopsy Core
title_sort safety of obtaining an extra biobank kidney biopsy core
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911133/
https://www.ncbi.nlm.nih.gov/pubmed/35268550
http://dx.doi.org/10.3390/jcm11051459
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