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Related Experiment Video

Updated: Sep 22, 2025

In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
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The risks associated with percutaneous native kidney biopsies: a prospective study.

Simeone Andrulli1,2, Michele Rossini3, Giuseppe Gigliotti4

  • 1N ephrology and Dialysis, Alessandro Manzoni Hospital, Lecco, Italy.

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
|May 19, 2022
PubMed
Summary

This prospective study found that percutaneous native kidney biopsies in Italy have a 5.1% risk of major complications. Higher creatinine, liver disease, and more needle passes increase this risk, while higher proteinuria is protective.

Keywords:
kidney biopsylogistic regressionmajor complicationsprospective cohort studyrisk

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Area of Science:

  • Nephrology
  • Medical Procedures
  • Patient Safety

Background:

  • Native kidney biopsy risks and benefits are primarily known from retrospective studies.
  • A multicentre prospective study was conducted to assess the safety of percutaneous renal biopsies.

Purpose of the Study:

  • To evaluate the safety of percutaneous native kidney biopsies.
  • To quantify complication rates associated with renal biopsies in Italy.

Main Methods:

  • A prospective, multicentre study involving 54 Italian nephrology centres from 2012 to 2020.
  • Analysis of 5304 native kidney biopsies.
  • Multivariate logistic regression used to identify risk predictors for complications.

Main Results:

  • 5.1% of patients (273/5304) experienced major complications.
  • Most frequent complications included decreased hemoglobin (2.2%), macrohematuria (1.2%), and need for blood transfusion (1.1%).
  • Risk factors identified were higher plasma creatinine, liver disease, and increased needle passes; higher proteinuria was protective.

Conclusions:

  • Percutaneous native kidney biopsies carry a 5% risk of major post-biopsy complications.
  • Higher plasma creatinine, liver disease, and more needle passes are significant risk factors.
  • This is the first multicentre prospective study to establish these findings.