Transjugular renal biopsy

Last revised by Andrew Murphy on 23 Mar 2023

Citation, DOI, disclosures and article data

Citation:

Di Muzio B, Murphy A, Weerakkody Y, et al. Transjugular renal biopsy. Reference article, Radiopaedia.org (Accessed on 19 Apr 2024) https://doi.org/10.53347/rID-25611

DOI:

https://doi.org/10.53347/rID-25611

Permalink:

https://radiopaedia.org/articles/25611

rID:

25611

Article created:

31 Oct 2013, Bruno Di Muzio ◉ ◈

Disclosures:

At the time the article was created Bruno Di Muzio had no recorded disclosures.

View Bruno Di Muzio's current disclosures

Last revised:

23 Mar 2023, Andrew Murphy ◉

Disclosures:

At the time the article was last revised Andrew Murphy had no financial relationships to ineligible companies to disclose.

View Andrew Murphy's current disclosures

Revisions:

4 times, by 4 contributors - see full revision history and disclosures

Systems:

Urogenital, Interventional

Sections:

Interventional Radiology

Synonyms:

Transjugular renal biopsies

Transjugular renal biopsy can be performed to obtain an adequate tissue sample for histopathologic diagnosis on renal dysfunctions. It is usually performed in high-risk patients in whom percutaneous renal biopsy is not feasible or is contraindicated. This is also useful in morbidly obese patients - where the conventional percutaneous renal biopsy may be difficult.

This procedure is also an option in situations such as multiorgan biopsy or on situations when you cannot wait for the biologic effects of an antivitamin K or antiplatelet drugs to disappear¹.

The preferred technique is right internal jugular vein puncture, sheath placement, selection of the right renal vein and access to the lower pole tributary. The ultrasound may be used to locate the tip of the biopsy needle at the lower pole and the available renal cortical thickness.