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Open Access 06-09-2024 | Nephrology – Original Paper

Ultrasound-guided kidney biopsy: a ten-year retrospective single-center experience and the promising role of clinical hypnosis

Authors: Andrea Angioi, Giacomo Mascia, Danilo Sirigu, Riccardo Cao, Paola Bianco, Daniela Onnis, Matteo Floris, Gianfranca Cabiddu, Antonello Pani, Nicola Lepori

Published in: International Urology and Nephrology

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Abstract

This retrospective analysis investigates the outcomes and complications of 682 kidney biopsies performed at ARNAS G. Brotzu from 2010 to 2021. Our findings indicate a minor complication rate of 9.1%, with severe complications being exceedingly rare at 0.3%. Age did not contribute to an increased risk, underscoring the procedure’s safety across age groups. Clinical hypnosis was incorporated into the biopsy protocol in a subset of patients (n = 45) from April 2019 to December 2023. Over 90% of these patients reported no perception of the procedure, and 60% experienced no pain. According to STAY-Y test scores, this approach significantly reduced anxiety post-procedure (p = 0.001); no major or minor complications were observed in this group. While our study reaffirms the very low risk of severe complications in kidney biopsies, it also highlights the potential benefits of adjunct clinical hypnosis in enhancing patient comfort and cooperation during the procedure. This exploration opens a promising avenue for further investigation to improve patient experiences and procedural outcomes in kidney biopsies.
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Literature
1.
go back to reference Berlyne GM (1961) Ultrasonics in renal biopsy an aid to determination of kidney position. The Lancet 278:750–751 Berlyne GM (1961) Ultrasonics in renal biopsy an aid to determination of kidney position. The Lancet 278:750–751
2.
go back to reference Philipponnet C, Guérin C, Canet E et al (2013) Kidney biopsy in the critically ill patient, results of a multicentre retrospective case series. Minerva Anestesiol 79:53–61PubMed Philipponnet C, Guérin C, Canet E et al (2013) Kidney biopsy in the critically ill patient, results of a multicentre retrospective case series. Minerva Anestesiol 79:53–61PubMed
3.
go back to reference Augusto J-F, Lassalle V, Fillatre P et al (2012) Safety and diagnostic yield of renal biopsy in the intensive care unit. Intensive Care Med 38:1826–1833PubMed Augusto J-F, Lassalle V, Fillatre P et al (2012) Safety and diagnostic yield of renal biopsy in the intensive care unit. Intensive Care Med 38:1826–1833PubMed
4.
go back to reference Bobart SA, Han H, Tehranian S et al (2021) Noninvasive Diagnosis of PLA2R-Associated Membranous Nephropathy: A Validation Study. Clin J Am Soc Nephrol 16:1833PubMedPubMedCentral Bobart SA, Han H, Tehranian S et al (2021) Noninvasive Diagnosis of PLA2R-Associated Membranous Nephropathy: A Validation Study. Clin J Am Soc Nephrol 16:1833PubMedPubMedCentral
5.
go back to reference Ranghino A, Mella A, Borchiellini A et al (2014) Assessment of platelet function analyzer (PFA-100) in kidney transplant patients before renal allograft biopsy: a retrospective single-center analysis. Transpl Proc 46:2259–2262 Ranghino A, Mella A, Borchiellini A et al (2014) Assessment of platelet function analyzer (PFA-100) in kidney transplant patients before renal allograft biopsy: a retrospective single-center analysis. Transpl Proc 46:2259–2262
6.
go back to reference Roccatello D, Sciascia S, Rossi D et al (2018) Safety of outpatient percutaneous native renal biopsy in systemic autoimmune diseases: results from a monocentric cohort. Lupus 27:1393–1394PubMed Roccatello D, Sciascia S, Rossi D et al (2018) Safety of outpatient percutaneous native renal biopsy in systemic autoimmune diseases: results from a monocentric cohort. Lupus 27:1393–1394PubMed
7.
go back to reference Bonani M, Seeger H, Weber N, Lorenzen JM, Wüthrich RP, Kistler AD (2021) Safety of kidney biopsy when performed as an outpatient procedure. Kidney Blood Press Res 46:310–322PubMed Bonani M, Seeger H, Weber N, Lorenzen JM, Wüthrich RP, Kistler AD (2021) Safety of kidney biopsy when performed as an outpatient procedure. Kidney Blood Press Res 46:310–322PubMed
8.
go back to reference Atwell TD, Spanbauer JC, McMenomy BP et al (2015) The timing and presentation of major hemorrhage after 18,947 image-guided percutaneous biopsies. Am J Roentgenol 205:190–195 Atwell TD, Spanbauer JC, McMenomy BP et al (2015) The timing and presentation of major hemorrhage after 18,947 image-guided percutaneous biopsies. Am J Roentgenol 205:190–195
9.
go back to reference Noergaard MW, Håkonsen SJ, Bjerrum M, Pedersen PU (2019) The effectiveness of hypnotic analgesia in the management of procedural pain in minimally invasive procedures: A systematic review and meta-analysis. J Clin Nurs 28:4207–4224PubMed Noergaard MW, Håkonsen SJ, Bjerrum M, Pedersen PU (2019) The effectiveness of hypnotic analgesia in the management of procedural pain in minimally invasive procedures: A systematic review and meta-analysis. J Clin Nurs 28:4207–4224PubMed
10.
go back to reference Kumbhani DJ, Cannon CP, Beavers CJ et al (2021) 2020 ACC expert consensus decision pathway for anticoagulant and antiplatelet therapy in patients with atrial fibrillation or venous thromboembolism undergoing percutaneous coronary intervention or with atherosclerotic cardiovascular disease. J Am Coll Cardiol 77:629–658PubMed Kumbhani DJ, Cannon CP, Beavers CJ et al (2021) 2020 ACC expert consensus decision pathway for anticoagulant and antiplatelet therapy in patients with atrial fibrillation or venous thromboembolism undergoing percutaneous coronary intervention or with atherosclerotic cardiovascular disease. J Am Coll Cardiol 77:629–658PubMed
11.
go back to reference Andrulli S, Rossini M, Gigliotti G et al (2023) The risks associated with percutaneous native kidney biopsies: a prospective study. Nephrol Dial Transplant 38:655–663PubMed Andrulli S, Rossini M, Gigliotti G et al (2023) The risks associated with percutaneous native kidney biopsies: a prospective study. Nephrol Dial Transplant 38:655–663PubMed
12.
go back to reference Al Turk AA, Estiverne C, Agrawal PR, Michaud JM (2018) Trends and outcomes of the use of percutaneous native kidney biopsy in the United States: 5-year data analysis of the Nationwide Inpatient Sample. Clin Kidney J 11:330–336PubMed Al Turk AA, Estiverne C, Agrawal PR, Michaud JM (2018) Trends and outcomes of the use of percutaneous native kidney biopsy in the United States: 5-year data analysis of the Nationwide Inpatient Sample. Clin Kidney J 11:330–336PubMed
13.
go back to reference Antunes PRB, Prado FFM, de Souza FTA et al (2018) Clinical complications in renal biopsy using two different needle gauges: The impact of large hematomas, a random clinical trial study. Int J Urol 25:544–548PubMed Antunes PRB, Prado FFM, de Souza FTA et al (2018) Clinical complications in renal biopsy using two different needle gauges: The impact of large hematomas, a random clinical trial study. Int J Urol 25:544–548PubMed
14.
go back to reference Korbet SM, Volpini KC, Whittier WL (2014) Percutaneous renal biopsy of native kidneys: a single-center experience of 1,055 biopsies. Am J Nephrol 39:153–162PubMed Korbet SM, Volpini KC, Whittier WL (2014) Percutaneous renal biopsy of native kidneys: a single-center experience of 1,055 biopsies. Am J Nephrol 39:153–162PubMed
15.
go back to reference Schorr M, Roshanov PS, Weir MA, House AA (2020) Frequency, timing, and prediction of major bleeding complications from percutaneous renal biopsy. Can J Kidney Health Dis 7:2054358120923527PubMedPubMedCentral Schorr M, Roshanov PS, Weir MA, House AA (2020) Frequency, timing, and prediction of major bleeding complications from percutaneous renal biopsy. Can J Kidney Health Dis 7:2054358120923527PubMedPubMedCentral
16.
go back to reference Sousanieh G, Whittier WL, Rodby RA, Peev V, Korbet SM (2021) Percutaneous renal biopsy using an 18-gauge automated needle is not optimal. Am J Nephrol 51:982–987 Sousanieh G, Whittier WL, Rodby RA, Peev V, Korbet SM (2021) Percutaneous renal biopsy using an 18-gauge automated needle is not optimal. Am J Nephrol 51:982–987
17.
go back to reference Poggio ED, McClelland RL, Blank KN et al (2020) Systematic review and meta-analysis of native kidney biopsy complications. Clin J Am Soc Nephrol 15:1595PubMedPubMedCentral Poggio ED, McClelland RL, Blank KN et al (2020) Systematic review and meta-analysis of native kidney biopsy complications. Clin J Am Soc Nephrol 15:1595PubMedPubMedCentral
18.
go back to reference Elkins GR, Barabasz AF, Council JR, Spiegel D (2015) Advancing research and practice: the revised APA division 30 definition of hypnosis. Int J Clin Exp Hypn 63:1–9PubMed Elkins GR, Barabasz AF, Council JR, Spiegel D (2015) Advancing research and practice: the revised APA division 30 definition of hypnosis. Int J Clin Exp Hypn 63:1–9PubMed
19.
go back to reference Gueguen J, Barry C, Hassler C, Falissard B. Evaluation de l’efficacité de la pratique de l’hypnose. 2015. Gueguen J, Barry C, Hassler C, Falissard B. Evaluation de l’efficacité de la pratique de l’hypnose. 2015.
20.
go back to reference Kendrick C, Sliwinski J, Yu Y et al (2016) Hypnosis for acute procedural pain: a critical review. Int J Clin Exp Hypn 64:75–115PubMedPubMedCentral Kendrick C, Sliwinski J, Yu Y et al (2016) Hypnosis for acute procedural pain: a critical review. Int J Clin Exp Hypn 64:75–115PubMedPubMedCentral
21.
go back to reference Lang EV, Berbaum KS, Pauker SG et al (2008) Beneficial effects of hypnosis and adverse effects of empathic attention during percutaneous tumor treatment: when being nice does not suffice. J Vasc Interv Radiol 19:897–905PubMedPubMedCentral Lang EV, Berbaum KS, Pauker SG et al (2008) Beneficial effects of hypnosis and adverse effects of empathic attention during percutaneous tumor treatment: when being nice does not suffice. J Vasc Interv Radiol 19:897–905PubMedPubMedCentral
22.
go back to reference Lang EV, Berbaum KS, Faintuch S et al (2006) Adjunctive self-hypnotic relaxation for outpatient medical procedures: a prospective randomized trial with women undergoing large core breast biopsy. Pain 126:155PubMedPubMedCentral Lang EV, Berbaum KS, Faintuch S et al (2006) Adjunctive self-hypnotic relaxation for outpatient medical procedures: a prospective randomized trial with women undergoing large core breast biopsy. Pain 126:155PubMedPubMedCentral
Metadata
Title
Ultrasound-guided kidney biopsy: a ten-year retrospective single-center experience and the promising role of clinical hypnosis
Authors
Andrea Angioi
Giacomo Mascia
Danilo Sirigu
Riccardo Cao
Paola Bianco
Daniela Onnis
Matteo Floris
Gianfranca Cabiddu
Antonello Pani
Nicola Lepori
Publication date
06-09-2024
Publisher
Springer Netherlands
Published in
International Urology and Nephrology
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-024-04196-1

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