Transjugular renal biopsy in an unconscious patient maintained on mechanical ventilation

R. Sam, S. B. Chebrolu, C. V. Reyes, K. L. Pierce, Z. Molnar, Rajiv Dhand, Todd S. Ing

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aim: Transjugular renal biopsy is a relatively new technique that has often been applied to patients with concomitant renal and liver diseases. It is believed that with this particular biopsy approach, one can avoid the high risk of conventional renal biopsy-related bleeding in patients who also often suffer from coagulopathy. However, other indications for this procedure have not been clearly defined. Herein, we describe an unconscious patient afflicted with acute renal failure and maintained on mechanical ventilation in whom the performance of a renal biopsy was deemed necessary. Methods: The transjugular renal biopsy technique was carried out because this unconscious patient could not follow breathing instructions for a conventional biopsy to be performed. Also, it would have been difficult for the patient to lay prone during the conventional biopsy procedure. Results: A total of 7 glomeruli were obtained and a diagnosis of vasculitis-related necrotizing glomerulonephritis and acute tubular necrosis was made. Subsequently, the patient was treated successfully with steroid therapy. Conclusion: Transjugular kidney biopsy should be considered in unconscious renal biopsy-requiring patients maintained on mechanical ventilation.

Original languageEnglish (US)
Pages (from-to)53-57
Number of pages5
JournalClinical Nephrology
Volume60
Issue number1
StatePublished - Jul 1 2003
Externally publishedYes

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Artificial Respiration
Kidney
Biopsy
Glomerulonephritis
Vasculitis
Acute Kidney Injury
Liver Diseases
Respiration
Necrosis
Steroids
Hemorrhage

All Science Journal Classification (ASJC) codes

  • Nephrology

Cite this

Sam, R., Chebrolu, S. B., Reyes, C. V., Pierce, K. L., Molnar, Z., Dhand, R., & Ing, T. S. (2003). Transjugular renal biopsy in an unconscious patient maintained on mechanical ventilation. Clinical Nephrology, 60(1), 53-57.

Transjugular renal biopsy in an unconscious patient maintained on mechanical ventilation. / Sam, R.; Chebrolu, S. B.; Reyes, C. V.; Pierce, K. L.; Molnar, Z.; Dhand, Rajiv; Ing, Todd S.

In: Clinical Nephrology, Vol. 60, No. 1, 01.07.2003, p. 53-57.

Research output: Contribution to journalArticle

Sam, R, Chebrolu, SB, Reyes, CV, Pierce, KL, Molnar, Z, Dhand, R & Ing, TS 2003, 'Transjugular renal biopsy in an unconscious patient maintained on mechanical ventilation', Clinical Nephrology, vol. 60, no. 1, pp. 53-57.
Sam R, Chebrolu SB, Reyes CV, Pierce KL, Molnar Z, Dhand R et al. Transjugular renal biopsy in an unconscious patient maintained on mechanical ventilation. Clinical Nephrology. 2003 Jul 1;60(1):53-57.
Sam, R. ; Chebrolu, S. B. ; Reyes, C. V. ; Pierce, K. L. ; Molnar, Z. ; Dhand, Rajiv ; Ing, Todd S. / Transjugular renal biopsy in an unconscious patient maintained on mechanical ventilation. In: Clinical Nephrology. 2003 ; Vol. 60, No. 1. pp. 53-57.
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