Introduction: Percutaneous renal biopsy (PRB) is an essential procedure for the diagnosis and therapeutic management of many primary or secondary nephropathies. Objectives: To identify the indications, to determine the profile of the diagnosed nephropathies and to evaluate the short-term complications related to the practice of echo-guided PRB at the Martigues hospital center. Methodology: This was a retrospective and descriptive study carried out on the records of patients who underwent echo-guided native kidney biopsy from January 1, 2010 to December 31, 2019 in the nephrology department of the Martigues Hospital. Results: The analysis of 123 cases of echo-guided PRB involved 76 men and 47 women with a sex ratio of 1.6. The mean age was 55.92 ± 17.80 with age extremes of 16 and 87 years. Glomerular syndromes were the main indication with 42 cases of nephrotic syndrome (34.1%), 15 cases of nephritic syndrome (12.2%), 11 cases of rapidly progressive glomerulonephritis syndrome (8.9%), and 6 cases of recurrent macroscopic hematuria syndrome (4.9%). The histological findings were 47 cases of primary glomerular lesions (38.3%), 32 cases of nephroangiosclerosis lesions (26%), 24 cases of secondary glomerulopathy (19.5%), 9 cases of interstitial nephritis (7.3%), 2 cases of myelomatous nephropathy (1.6%), and 9 cases (7.3%) of unclassified histological lesions. Twenty-two hypertensive patients (40.7%) had nephroangiosclerosis lesions (p = 0.001). The follow-up was simple in 119 patients (96.7%). Macroscopic hematuria was noted in 4 patients (3.3%). It was associated with a perirenal hematoma in 2 patients including 1 transfused case. Conclusion: Our data provide an important contribution to the understanding of the prevalence and clinical presentation of renal diseases in the nephrology department of the Martigues hospital center.
References
[1]
Kourilsky, O. (2014) La biopsie rénale. In: Kanfer, A., Kourilsky, O., Peraldi, M.-N. and Combe, C., Eds., Néphrologie et troubles hydroélectrolytiques, Elsevier Masson, Paris. https://doi.org/10.1016/B978-2-294-73759-6.00018-3
[2]
Bollée, G., Moulin, B., Martinez, F., Meulders, Q., Rougier, J.P., Baumelou, A., et al. (2012) Pratique de la biopsie rénale: résultat d’une enquête en France, revue de la littérature et recommandations. Néphrologie & Thérapeutique, 8, 168-176. https://doi.org/10.1016/j.nephro.2011.12.005
[3]
Okpechi, I., Swanepoel, C. and Duffield, M. (2011) Patterns of Renal Disease in Cape Town South Africa: A 10-Year Review of a Single-Centre Renal Biopsy Database. Nephrology Dialysis Transplantation, 26, 1853-1861. https://doi.org/10.1093/ndt/gfq655
[4]
Iversen, P. and Brun, C. (1951) Aspiration Biopsy of the Kidney. The American Journal of Medicine, 3, 324-330. https://doi.org/10.1016/0002-9343(51)90169-6
[5]
Lefaucheur, C., Nochy, D. and Bariety, J. (2009) Biopsie rénale: Techniques de prélèvement, contre-indications, complications. Néphrologie & Thérapeutique, 5, 331-339. https://doi.org/10.1016/j.nephro.2009.02.005
[6]
Heng, A.E., Ackoundou-Nguessan, C., Gazuy, N., Deteix, P. and Souweine, B. (2005) Place de la ponction biopsie rénale dans l’insuffisance rénale aiguë en réanimation. Réan, 14, 483-490. https://doi.org/10.1016/j.reaurg.2005.09.009
[7]
Weening, J.J. (2004) The Classification of Glomerulonephritis in Systemic Lupus Erythematosus Revisited. Journals of the American Society of Nephrology, 2, 241-250. https://doi.org/10.1097/01.ASN.0000108969.21691.5D
[8]
Rabant, M., Snanoudj, R., Krug, P. and Martinez, F. (2017) Méthode et technique de la biopsie rénale. In: Traité de néphrologie, E Thervet, Paris, 734.
[9]
Wang, Y.-T., Zhou, C.-Y., Zhu, T.-C., Yang, J., Zhang, Y., Xu, Q.-Y., et al. (2013) Analysis of Kidney Biopsy Data from a Single Center in the Midland Rural Area of China, 1996-2010. Current Therapeutic Research, 74, 22-25. https://doi.org/10.1016/j.curtheres.2012.12.005
[10]
Mbarki, H., Belghiti, K.A., Harmouch, T., Najdi, A. and et Tarik Sqalli, M.A. (2016) Ponction biopsies rénales dans le Service de Néphrologie de Fès: indications et résultats: à propos de 522 cas. Pan African Medical Journal, 24, 39-82. http://www.panafrican-med-journal.com/content/article/24/21/full/ https://doi.org/10.11604/pamj.2016.24.21.3982
[11]
(2020) Institut national de la statistique et des études économiques. https://www.insee.fr/fr/statistiques/2381476
[12]
Polito, M.G., de Moura, L.A. and Kirsztajn, G.M. (2010) An Overview on Frequency of Renal Biopsy Diagnosis in Brazil: Clinical and Pathological Patterns Based on 9617 Native Kidney Biopsies. Nephrology Dialysis Transplantation, 25, 490-496. https://doi.org/10.1093/ndt/gfp355
[13]
Meyrier, A. (2015) Nephrosclerosis: Update on a Centenarian. Nephrology Dialysis Transplantation, 30, 1833-1841. https://doi.org/10.1093/ndt/gfu366
[14]
Suganuma, T. (1994) Glomerular IgA Deposits in an Autopsy Study. Nihon Jinzo Gakkai Shi, 36, 813-822.
[15]
Cattran, D.C., Coppo, R., Cook, H.T., Feehally, J., Robert, I.S.D., Troyanov, S., et al. (2009) The Oxford Classification of IgA Nephropathy: Rationale, Clinicopathological Correlations, and Classification. Kidney International, 76, 534-545. https://doi.org/10.1038/ki.2009.243
[16]
Assogba, G.F.A., Couchoud, C., Roudier, C., Pornet, C., Fosse, S., Romon, I., et al. (2012) Prevalence, Screening and Treatment of Chronic Kidney Disease in People with Type 2 Diabetes in France: The Entred Surveys (2001 and 2007). Diabetes & Metabolism, 38, 558-566. https://doi.org/10.1016/j.diabet.2012.08.004
[17]
Wirta, O., Helin, H., Mustonen, J., Kuittinen, E., Savela, T. and et Pasternack, A. (2000) Renal Findings and Glomerular Pathology in Diabetic Subjects. Nephron, 84, 236-242. https://doi.org/10.1159/000045583
[18]
Choukroun, G., Gupy, Ch. and Noel, Lh. (2000) Amylose du rein et de l’appareil urinaire. In: Grateau, G., Benson, M.D. and Delpech, M., Eds., Les amyloses, Médecine-sciences, Flammarion, Paris, 163-177.
[19]
Waldo, B. (2009) The Value of Post-Biopsy Ultrasound in Predicting Complications after Percutaneous Renal Biopsy of Native Kidneys. Nephrology Dialysis Transplantation, 24, 2433-2439. https://doi.org/10.1093/ndt/gfp073
[20]
Peters, B., Andersson, Y., Stegmayr, B., Mölne, J., Jensen, G., Dahlberg, P., et al. (2014) A Study of Clinical Complications and Risk Factors in 1001 Native and Transplant Kidney Biopsies in Sweden. Acta Radiologica, 55, 890-896. https://doi.org/10.1177/0284185113506190
