Transjugular renal biopsy

Mal, F.; Beaugrand, Michel; Ferner, J.P.; Callard, P; Meyrier, Alain; Altman, Joanne D.; Kleinknecht, D

doi:10.1016/0140-6736(90)93040-v

Cited by 60 publications

(36 citation statements)

References 12 publications

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“…Transjugular kidney biopsies (TJKBs) were initially described in the early 1990s, with many subsequent case series describing this technique in patients with contraindications to PRB or who required simultaneous liver/ kidney biopsies (22). One series found no difference in diagnostic yield or major complications in patients undergoing PRB (n=400) or TJKB (n=400; 303 of whom had bleeding disorders) (23).…”

Section: Other Biopsy Techniquesmentioning

confidence: 99%

The Native Kidney Biopsy

Hogan

Mocanu

Berns

2016

Clinical Journal of the American Society of Nephrology

221

225

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The kidney biopsy is the gold standard in the diagnosis and management of many diseases. Since its introduction in the 1950s, advancements have been made in biopsy technique to improve diagnostic yield while minimizing complications. Here, we review kidney biopsy indications, techniques, and complications in the modern era. We also discuss patient populations in whom special consideration must be given when considering a kidney biopsy and the important role that the kidney biopsy plays in nephrology training. These data are presented to develop best practice strategies for this essential procedure.

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Section: Other Biopsy Techniquesmentioning

confidence: 99%

The Native Kidney Biopsy

Hogan

Mocanu

Berns

2016

Clinical Journal of the American Society of Nephrology

221

225

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“…Transjugular renal biopsies, first reported in 1990 by Mal et al 103 and Jouet et al, 104 have been shown to result in little morbidity, provide diagnostic tissue from 75% to 80% of procedures, and alter therapy in up to 30% of patients. In addition, renal biopsy may be performed percutaneously while monitoring for the presence of varices and replacing deficient coagulation components during and after the procedure, as directed by thromboelastography (C.L.…”

Section: Renal Biopsy In Esldmentioning

confidence: 99%

Pathophysiology of renal disease associated with liver disorders: Implications for liver transplantation. Part I

Davis

Gonwa

Wilkinson

2002

Liver Transplantation

117

131

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“…23,24 This procedure has been used in patients with of mesangial and/or subendothelial immunoglobulin (Ig)A de-cirrhosis, urinary abnormalities, and/or renal failure. More posits.…”

mentioning

confidence: 99%

“…2 The distinctive although nonspe-sue sampling by the conventional percutaneous route is imcific glomerular lesion seen in patients with cirrhosis consists possible. 23,24 This procedure has been used in patients with of mesangial and/or subendothelial immunoglobulin (Ig)A de-cirrhosis, urinary abnormalities, and/or renal failure. More posits.…”

mentioning

confidence: 99%

Transjugular renal biopsy in the treatment of patients with cirrhosis and renal abnormalities

et al. 1996

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cirrhosis. Chronic hepatitis B virus infection can also be assoWhen renal lesions are suspected in patients with circiated with various patterns of renal disease, including memrhosis, clotting disorders often preclude percutaneous branous nephropathy, membranoproliferative glomerulonerenal biopsy. This study was undertaken to determine phritis, and mesangial proliferative glomerulonephritis.10 whether transjugular renal biopsy is possible, safe, and Finally, cirrhosis caused by hepatitis C virus may be accomuseful in such patients. From 1987 to 1994, 70 patients panied by cryoglobulinemic related glomerulopathy. 11,12with cirrhosis and clotting disorders underwent transThe prevalence of cirrhosis-associated glomerular abnorjugular renal biopsies, providing renal tissue in 55. Of malities has not been clearly determined. Results of autopsy these 55 patients, 41 were Child-Pugh class B or C, 35 series are often flawed by the technical drawbacks inherent were alcoholic, serum creatinine levels were ¢130 mmol/ in the examination of postmortem renal tissue. Most patients L in 46, and proteinuria was ¢0.5 g/d in 37. Clinically in these series died of hepatocellular insufficiency, and little significant complications of transjugular renal biopsy information could be provided about previous renal function were persistent hematuria in 4 and perirenal hematoma and urinary abnormalities. 8,13,14 Series based on percutanein 4, requiring blood transfusions in 1 and 2 cases, reous renal biopsies are few and deal with patients suffering spectively. There were no deaths related to renal biopsy.from cirrhosis with moderate hepatic failure. 6,7 In the reRenal lesions were identified as glomerular in 41 (74.5%), maining patients with severe hepatic lesions, profound clotinterstitial in 7, and end-stage in 2 and were absent in ting disorders preclude percutaneous renal biopsy. This lack Transjugular renal biopsy influenced treatment in 21of information may be detrimental to patient care, particupatients (38%), including 11 who were proposed for liver larly in patients with end-stage hepatic failure and with renal transplantation and 4 who had chronic liver rejection.insufficiency who are considered for orthotopic liver transDecisions based on results of transjugular renal biopsy plantation (OLT). If renal insufficiency in these patients is were to perform liver transplantation in 8 and combined caused by the hepatorenal syndrome, renal function can rerenal and liver transplantation in 5, whereas 2 were return to reasonably good after OLT in most cases. 15 However, fused. In 6 other patients, the results of renal biopsy if renal insufficiency is caused by severe renal lesions, there modified the medical regimen. We conclude that transis a potential contraindication to OLT because of cyclosporin jugular renal biopsy may be a useful procedure in pa-A nephrotoxicity. [16][17][18][19][20] Assessment of renal histology may also tients with cirrhosis and clotting disorders. This techbe important after OLT because postoperative acute and ...

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Transjugular renal biopsy

Cited by 60 publications

References 12 publications

The Native Kidney Biopsy

The Native Kidney Biopsy

Pathophysiology of renal disease associated with liver disorders: Implications for liver transplantation. Part I

Transjugular renal biopsy in the treatment of patients with cirrhosis and renal abnormalities

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