Ultrasound Versus Computed Tomography-Guided Native Parenchymal Kidney Biopsies for Hospitalized Patients: Comparison of Clinical Outcomes and Complications

Percutaneous native kidney biopsies performed with ultrasound (US) or computed tomography (CT) guidance are important in the workup of medical renal disease, with modality choice often dependent on the performing institution, with various complication rates reported. We compared the complication rates and types of complication of US- versus CT-guided native parenchymal renal biopsy among hospitalized patients. One hundred five consecutive inpatient US- and CT-guided native parenchymal renal biopsies performed by radiologists at a tertiary care academic center between 2006 and 2020 were reviewed retrospectively. Complication rates of biopsy were calculated and compared between the 2 modalities. Comparisons with regard to types of complications were made using the Society of Interventional Radiology grading scale, American Society of Anesthesiologists score, and other clinical data. One hundred five hospitalized adult patients (58 women and 47 men; average age, 53 years) underwent native parenchymal kidney biopsy during the study period. Sixty-three (60%) were CT-guided and 42 (40%) were US-guided. Complication rates between CT- versus US-guided biopsies were 40% versus 19% (P = 0.03), respectively. There were 7 major and 18 minor complications for CT-guided biopsies and 3 major and 5 minor complications for US-guided biopsies. No statistically significant difference was found in preprocedural American Society of Anesthesiologists Classification score, international normalized ratio, platelet count, or body mass index. Computed tomography-guided native parenchymal kidney biopsy was associated with a higher overall complication rate compared with US-guided biopsy for hospitalized patients. Most complications were minor, which required no treatment or additional follow-up.

Files

Metadata

Work Title Ultrasound Versus Computed Tomography-Guided Native Parenchymal Kidney Biopsies for Hospitalized Patients: Comparison of Clinical Outcomes and Complications
Access
Open Access
Creators
  1. Tuan Vu
  2. B J Shin
  3. Anisha Mittal
  4. Nabeel Sarwani
  5. Kathryn L. McGillen
Keyword
  1. CT guidance
  2. Random kidney biopsy
  3. US guidance
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Ultrasound Quarterly
Publication Date December 2022
Publisher Identifier (DOI)
  1. https://doi.org/10.1097/RUQ.0000000000000614
Deposited August 31, 2023

Versions

Analytics

Collections

This resource is currently not in any collection.

Work History

Version 1
published

  • Created
  • Added Ultrasound_Versus_Computed_Tomography_Guided.13.pdf
  • Added Creator Tuan Vu
  • Added Creator B J Shin
  • Added Creator Anisha Mittal
  • Added Creator Nabeel Sarwani
  • Added Creator Kathryn L. McGillen
  • Published
  • Updated Keyword, Publication Date Show Changes
    Keyword
    • CT guidance, Random kidney biopsy, US guidance
    Publication Date
    • 2022-12-01
    • 2022-12
  • Updated