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NDT Advance Access originally published online on May 3, 2005
Nephrology Dialysis Transplantation 2005 20(7):1299-1302; doi:10.1093/ndt/gfh866
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Editorial Review

Transjugular renal biopsy. Update on hepato-renal needlework

Alain Meyrier

Broussais-Georges Pompidou Hospitals (University Paris V), 75015 Paris, France

Correspondence and offprint requests to: A. Meyrier, Broussais-Georges Pompidou Hospitals, (University Paris V), 20 rue Leblanc, 75015 Paris, France. Email: alain.meyrier@brs.ap-hop-paris.fr

The first 150 words of the full text of this article appear below.



   Introduction
 
In 1990, a poster presented at the American Society of Nephrology kindled curiosity [1]. The placard indicated that renal biopsy can be performed by puncturing the right kidney from inside, with a needle inserted along a catheter running from the jugular vein into the lower pole. Publications followed, from those who had broken new ground and thereafter from many members of the nephrological circles. Most confirmed the interest in the jugular route, others brought grist to the mill, yet others were definitely misleading regarding the technique, its indications and its complications. It is therefore time to review the issue of transjugular renal biopsy (TJRB) in the light of acquired experience and to formulate recommendations and caveats.



   From liver to kidney: going astray to the right vein
 
Transjugular liver biopsy was described in 1964 [2]. Its rationale is simple: the hepatic veins open into the vena cava almost vertically. It is easy to introduce a catheter through . . . [Full Text of this Article]



   Conduct of the procedure
 


   The biopsy set
 


   Indications for the transjugular route
 


   Complications of the transjugular approach
 


   Experience from other investigators
 


   Back to basics
 
The biopsy material: long needles are dangerous
The biopsy technique: stick to Menghini
Capsular perforation and bleeding: puncturing wrong ideas


   Conclusion
 

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