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Updated: May 30, 2026
09:31
In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
Published on: March 30, 2015
Does systematic preliminar colour Doppler study reduce kidney biopsy complication incidence?
Antonio Granata1, Fulvio Floccari, Angelo Ferrantelli
1Departments of Nephrology and Dialysis and Internal Medicine, V. Emanuele Hospital, Via F. Paradiso 78/a, 95024 Acireale, Italy.
International Journal of Nephrology
|August 2, 2011
Summary
Preliminary colour Doppler (CD) study significantly reduces complications during renal biopsy. This imaging technique improves safety by optimizing puncture site selection, leading to fewer major and minor bleeding events.
Area of Science:
- Nephrology
- Radiology
- Medical Imaging
Background:
- Ultrasonography is standard for renal biopsy guidance.
- Colour Doppler examination is typically used post-biopsy to detect complications.
Purpose of the Study:
- To assess the utility of preliminary colour Doppler examination in planning percutaneous renal biopsy puncture sites.
- To evaluate the impact of colour Doppler on post-biopsy complication rates.
Main Methods:
- Retrospective analysis of 561 percutaneous renal biopsies.
- Group A (332 biopsies): Preliminary ultrasonography only.
- Group B (229 biopsies): Preliminary ultrasonography and colour Doppler study.
Main Results:
- Major complication rate: 2.1% in Group A vs. 0.43% in Group B.
- Minor clinically significant complication rate: 7.8% in Group A vs. 3.4% in Group B.
- Colour Doppler examination significantly reduced the incidence of both major and minor post-biopsy complications.
Conclusions:
- Preliminary colour Doppler study is a valuable tool for optimizing renal biopsy puncture site selection.
- Routine use of colour Doppler prior to renal biopsy can drastically decrease complication rates.
- These findings support the integration of colour Doppler into the standard planning protocol for renal biopsies.
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