Renal biopsy: it is time for pragmatism and consensus.

Lees, J. S. , McQuarrie, E. P. and Mackinnon, B. (2018) Renal biopsy: it is time for pragmatism and consensus. Clinical Kidney Journal, 11(5), pp. 605-609. (doi: 10.1093/ckj/sfy075) (PMID:30289128) (PMCID:PMC6165764)

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To obtain truly informed consent, we must be able to advise our patients accurately about the relative risk and benefit of any treatment plan. Percutaneous renal biopsy remains the gold standard investigation in the evaluation of intrinsic renal disease. There have been significant improvements in practice over the past decades with regards to percutaneous renal biopsy. Across centres, we appear now to have reached agreement on many aspects of this procedure, such as the need for blood pressure control, avoidance of coagulopathy, use of spring-loaded needles under direct imaging guidance and a need to monitor for complications. The authors from Rush University Medical Centre provide reassurance that renal biopsy in the modern era remains a safe procedure with a low rate of significant bleeding. There remain areas of divergence in practice that may have unintended and deleterious consequences: administration of desmopressin and discontinuation of aspirin, for example, both carry a risk of thrombosis. It is our opinion that it is time to reach consensus on our interpretation of the available data and to draw up guidelines to standardize our biopsy practice internationally.

Item Type:Articles
Additional Information:JSL is funded by a Kidney Research UK Training Fellowship (TF_013_20161125).
Keywords:Aspirin, biopsy, bleeding, complication, renal.
Glasgow Author(s) Enlighten ID:McQuarrie, Dr Emily and Mackinnon, Dr Bruce and Lees, Jennifer
Authors: Lees, J. S., McQuarrie, E. P., and Mackinnon, B.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Clinical Kidney Journal
Publisher:Oxford University Press
ISSN (Online):2048-8513
Published Online:20 September 2018
Copyright Holders:Copyright © 2018 The Authors
First Published:First published in Clinical Kidney Journal 11(5):605-609
Publisher Policy:Reproduced under a Creative Commons License

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