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INFORMATION AND CONSENT FOR IMAGE GUIDED KIDNEY BIOPSY You have been diagnosed as having kidney disease. In order to determine the cause of your kidney disease, your doctors are asking you to have.
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Numbed FAQ
Transvenous renal biopsy is performed via placement of a catheter (usually via jugular vein access) into the renal vein, usually in the setting of non-targeted biopsies. A sheath is then placed into the renal vein that allows the insertion of a spring-loaded needle attached to a long extension support device.
Percutaneous renal biopsy The patient is placed in the prone position, and the biopsy is typically taken from the lower pole of the kidney if there are no specific locations of interest. In order to localize this portion of the kidney, the biopsy is typically performed under ultrasound guidance.
Percutaneous kidney biopsies are considered the gold standard for diagnosis and management of kidney diseases [1]. They have historically been performed by nephrologists, however, in the recent years, radiologist performed percutaneous kidney biopsies have become more common [2].
A kidney biopsy (sometimes called a renal biopsy) involves a small sample of kidney tissue being removed. A kidney biopsy is done to diagnose and monitor certain conditions of the kidney. For example, inflammation of the kidney, which can be due to various causes, or cancer of the kidney.
Position of the Patient A kidney biopsy is usually performed in the prone position on the lower pole of the left kidney, which is preferred to reduce the risk of inadvertent injury to a major vessel.
There are multiple indications to perform renal biopsy, including the following: Unexplained renal failure. Acute nephritic syndrome. Nephrotic syndrome. Isolated nonnephrotic proteinuria. Isolated glomerular hematuria. Renal masses (primary or secondary) Renal transplant rejection. Renal transplant dysfunction.
During a kidney biopsy, a doctor collects a sample of tissue from your kidney. Most biopsies are done through your back, although people with a transplanted kidney have the biopsy through their lower abdomen (belly).
The patient is placed in the prone position with a pillow or towel under the abdomen; the lower pole of the kidney to be biopsied is localised using the anatomic landmark (the tip of the twelfth rib posteriorly).
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