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  • Title: Needle biopsy of renal allografts: comparison of two techniques.
    Author: Bogan ML, Kopecky KK, Kraft JL, Holladay AO, Filo RS, Leapman SB, Thomalla JV.
    Journal: Radiology; 1990 Jan; 174(1):273-5. PubMed ID: 2403682.
    Abstract:
    Two techniques for renal allograft biopsy were retrospectively evaluated to compare relative safety and efficacy. After ultrasound (US) localization of the kidney and biopsy with a hand-held 14-gauge cutting needle, an adequate specimen was obtained in 74 of 77 cases (96%). Major complications occurred in six of these 77 cases (8%). One hundred four biopsies were performed by using a smaller 18-gauge cutting needle with a spring-loaded biopsy "gun" and real-time US guidance. With this newer technique, specimens adequate for diagnosis were obtained in 99 biopsies (95%). There was a single major complication with this technique (1%). The 18-gauge needle with real-time US guidance yields comparably adequate specimens with a lower frequency of complications.
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