A Multicenter Retrospective Study of 151 Renal Biopsies in Horses

作者: G.A. Tyner , R.D. Nolen-Walston , T. Hall , J.P. Palmero , L. Couëtil

DOI: 10.1111/J.1939-1676.2011.0700.X

关键词:

摘要: Background: Renal biopsies are uncommonly performed in horses and little is known about their diagnostic utility associated complication rate. Objective: To describe the techniques, rate, risk factors, histopathology results; as well evaluate safety of renal biopsy horse. Animals: One hundred forty-six from which 151 were obtained. Animals ranged age 48 hours to 30 years. Methods: Multicenter retrospective study, with participation 14 institutions (1983–2009). Results: was a similar rate complications (11.3%) that occurring humans companion animals. Complications generally hemorrhage or signs colic, required treatment 3% cases. Fatality low (1/151; 0.7%). Biopsy specimens yielded sufficient tissue for histopathologic diagnosis most cases (94%) but diagnoses had only fair (72%) agreement postmortem findings. Risk factors included left kidney (P= .030), neoplasia .004), urine specific gravity .030). No association found age, sex, breed, institution, presenting complaint, other initial clinicopathologic data, instrument, needle size, use ultrasonographic guidance. Conclusions Clinical Importance: has morbidity results morphological 94% However, this procedure might result serious should be used when information obtained would likely impact decisions regarding patient management prognosis.

参考文章(60)
Anda Preda, Lucas C. Van Dijk, Jacques A. Van Oostaijen, Peter M. Pattynama, Complication rate and diagnostic yield of 515 consecutive ultrasound-guided biopsies of renal allografts and native kidneys using a 14-gauge Biopty gun. European Radiology. ,vol. 13, pp. 527- 530 ,(2003) , 10.1007/S00330-002-1482-3
A E Parrish, Complications of percutaneous renal biopsy: a review of 37 years' experience. Clinical Nephrology. ,vol. 38, pp. 135- 141 ,(1992)
Uzi Gafter, Asher Korzets, Avry Chagnac, Haim Neuman, Maxim Itkin, Ana Tobar, Yaacov Ori, Annette Siegal, Using the automated biopsy gun with real-time ultrasound for native renal biopsy. Israel Medical Association Journal. ,vol. 4, pp. 698- 701 ,(2002)
Miyabayashi T, Léveillé R, Partington Bp, Biller Ds, Complications after ultrasound-guided biopsy of abdominal structures in dogs and cats: 246 cases (1984-1991). Javma-journal of The American Veterinary Medical Association. ,vol. 203, pp. 413- 415 ,(1993)
Paula D. Modransky, Ultrasound-Guided Renal and Hepatic Biopsy Techniques Veterinary Clinics of North America: Equine Practice. ,vol. 2, pp. 115- 126 ,(1986) , 10.1016/S0749-0739(17)30736-8
Fraser Db, Mitchell Mj, Trillo Aa, Aggarwal S, Kumar A, Ultrasonography-directed native renal biopsy: comparison of an automated biopsy device with a needle system. Canadian Association of Radiologists journal. ,vol. 43, pp. 359- ,(1992)
V. Anik Sahni, Biopsy of renal masses: when and why. Cancer Imaging. ,vol. 9, pp. 44- 55 ,(2009) , 10.1102/1470-7330.2009.0005
K.R. Shetye, L.R. Kavoussi, S. Ramakumar, O.E. Fugita, T.W. Jarrett, Laparoscopic renal biopsy: a 9-year experience BJU International. ,vol. 91, pp. 817- 820 ,(2003) , 10.1046/J.1464-410X.2003.04243.X
Luis F. Gimenez, Salvatore Micali, Roland N. Chen, Robert G. Moore, Louis R. Kavoussi, Paul J. Scheel, Laparoscopic renal biopsy Kidney International. ,vol. 54, pp. 525- 529 ,(1998) , 10.1046/J.1523-1755.1998.00006.X
D.C. Mendelssohn, E.H. Cole, Outcomes of percutaneous kidney biopsy, including those of solitary native kidneys American Journal of Kidney Diseases. ,vol. 26, pp. 580- 585 ,(1995) , 10.1016/0272-6386(95)90592-8