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Published on: June 18, 2020
Transjugular renal biopsy: our experience and technical considerations
Teik Choon See1, Barbara C Thompson, Alexander J Howie
1Radiology Department, Addenbrookes Hospital, Hills Road, Box 219, Cambridge, CB2 2QQ, UK. teikchoon.see@addenbrookes.nhs.uk
Cardiovascular and Interventional Radiology
|February 13, 2008
Summary
Transjugular renal biopsy (TJRB) offers a viable diagnostic method for kidney conditions, especially in high-risk patients. While complication rates are notable, careful patient selection optimizes outcomes for this interventional radiology procedure.
Area of Science:
- Interventional Radiology
- Nephrology
- Diagnostic Procedures
Background:
- Percutaneous renal biopsy is the standard diagnostic method for kidney diseases.
- Certain patient conditions, such as coagulopathy or solitary kidneys, pose challenges for conventional biopsy.
- Transjugular renal biopsy (TJRB) offers an alternative approach in complex cases.
Purpose of the Study:
- To describe the indications and techniques for transjugular renal biopsy (TJRB).
- To evaluate the efficacy and complication rates of the TJRB procedure.
- To assess the diagnostic yield of TJRB using the Quick-core needle biopsy system.
Main Methods:
- Retrospective review of 59 patients undergoing TJRB over a 4-year period.
- Utilized the Quick-core needle biopsy system, primarily accessing the right internal jugular vein.
- Collected data on indications, procedural details, specimen adequacy, and complications.
Main Results:
- Diagnostic specimens were obtained in 95% (56/59) of patients.
- Common indications included acute/chronic renal failure, nephrotic syndrome, and coagulopathy.
- Complications occurred in 61% of successful procedures, with most being minor (hematuria, loin pain); major complications included fistula requiring embolization and ureteric stenting.
Conclusions:
- Transjugular renal biopsy provides adequate diagnostic yield, particularly for patients unsuitable for percutaneous biopsy.
- While complication rates are relatively high, they must be weighed against the risks of conventional methods.
- Meticulous patient selection and procedural optimization are crucial for minimizing major complications.
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