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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0"><Article><Journal><PublisherName>yemenjmed</PublisherName><JournalTitle>Yemen Journal of Medicine</JournalTitle><PISSN>c</PISSN><EISSN>o</EISSN><Volume-Issue>Volume 4 Issue 1</Volume-Issue><IssueTopic>Multidisciplinary</IssueTopic><IssueLanguage>English</IssueLanguage><Season>January- April 2025</Season><SpecialIssue>N</SpecialIssue><SupplementaryIssue>N</SupplementaryIssue><IssueOA>Y</IssueOA><PubDate><Year>2025</Year><Month>05</Month><Day>21</Day></PubDate><ArticleType>Article</ArticleType><ArticleTitle>Techniques, Indications, and Complications of Kidney Biopsy: A Narrative Review</ArticleTitle><SubTitle/><ArticleLanguage>English</ArticleLanguage><ArticleOA>Y</ArticleOA><FirstPage>51</FirstPage><LastPage>64</LastPage><AuthorList><Author><FirstName>Elmukhtar</FirstName><LastName>Habas1</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>N</CorrespondingAuthor><ORCID/><FirstName>Amnna</FirstName><LastName>Rayani2</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>Kalifa</FirstName><LastName>Farfar3</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>Ala</FirstName><LastName>Habas4</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>Khaled</FirstName><LastName>Alarbi5</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>Aml</FirstName><LastName>Habas6</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>Almehdi</FirstName><LastName>Errayes7</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>Eshrak</FirstName><LastName>Habas4</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>Gamal</FirstName><LastName>Alfitori6</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/></Author></AuthorList><DOI>10.63475/yjm.v4i1.0029</DOI><Abstract>Accurate diagnosis of the cause of acute or chronic kidney dysfunction may require a percutaneous kidney biopsy (PKB). Unfortunately, the invasive nature of the procedure can lead to potential complications that may discourage the KBs. Lack of appropriate communication skills, experienced personnel and equipment, and high procedure costs can negatively impact complication rates and the frequency of conducted KBs. This nonsystematic review assesses KB procedures, indications, contraindications, complications, post-KB monitoring time, and cost. We looked for reviews and original articles published between January 2010 and Jan 2025 on Google, Google Scholar, and PubMed.  Different keywords, phrases, and sentences include PKB, renal biopsy, native PKB, ultrasound guide, CT-guided, PKB, allograft PKB, and PKB procedures. KB makes histopathological and immunohistological diagnosis possible, which are necessary for diagnosis and treatment. It is often used despite the known complications. KB and other biochemical assays have tracked transplant rejection and antirejection drugs. Automatic gun spiral needles sizes 14 and 16 capture enough samples with fewer complications than gauge sizes 18 and 20. KB cost is another issue, especially in low-income areas, and deserves additional study.</Abstract><AbstractLanguage>English</AbstractLanguage><Keywords>Percutaneous kidney biopsy (PKB), ultrasound guide PKB, CT-guided PKB, PKB complications, and KB cost</Keywords><URLs><Abstract>https://yemenjmed.com/admin/abstract?id=144</Abstract></URLs><References><ReferencesarticleTitle>References</ReferencesarticleTitle><ReferencesfirstPage>16</ReferencesfirstPage><ReferenceslastPage>19</ReferenceslastPage><References>Hull KL, Adenwalla SF, Topham P, Graham-Brown MP. Indications and considerations for kidney biopsy: an overview of clinical considerations for the non-specialist. Clin Med (Lond). 2022;22(1):34-40.Hogan JJ, Mocanu M, Berns JS. The Native Kidney Biopsy: Update and Evidence for Best Practice. 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