Indications for Percutaneous
Renal Biopsy
Indications
for percutaneous needle biopsy
include
-
Unexplained
acute renal failure or chronic
renal insufficiency;
-
Acute
nephritic syndromes;
-
Unexplained
proteinuria and hematuria;
-
Previously
identified and treated lesions
to plan future therapy;
-
Systemic
diseases associated with
kidney dysfunction, such as
systemic
lupus erythematosus (SLE),
Goodpasture's syndrome, and
Wegener's granulomatosis,
to confirm the extent of renal
involvement and to guide
management;
-
Suspected
transplant rejection, to
differentiate it from other
causes of acute renal failure;
and
-
To guide
treatment.
Relative
contraindications include a
solitary or ectopic kidney
(exception: transplant
allografts), horseshoe kidney,
uncorrected bleeding disorder,
severe uncontrolled
hypertension, renal infection,
renal neoplasm, hydronephrosis,
end-stage renal disease (ESRD),
congenital anomalies, multiple
cysts, or uncooperative patient.
Related Criteria
RIFLE Criteria for Acute Renal Dysfunction
More...
-
Reisman L,
Dikman S, Churg J, Kupfer S. Renal
biopsy: why and when. Mt Sinai J
Med. 1996 May-Sep;63(3-4):178-90.
[Medline]
-
Fuiano G, Mazza G,
Comi N, Caglioti A, De Nicola L,
Iodice C, Andreucci M, Andreucci
VE.
Current indications for renal
biopsy: a questionnaire-based
survey. Am J Kidney Dis. 2000
Mar;35(3):448-57.
[Medline]
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