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Nephrology

Interventional Nephrology   

Questions discussed in this category

Do you recommend immediate catheter removal or anticoagulating for a certain amount of time before removing the tunneled dialysis catheter of a patient with an incidentally found, asymptomatic thrombus at the end of the catheter that does not interfere with hemodialysis?
2 Answers available
Do you recommend avoiding radial artery access for cardiac catheterization to preserve potential future dialysis access sites in patients with advanced CKD?
7 Answers available
What are your top takeaways from ASN 2024?
1 Answer available
For outpatients undergoing a kidney biopsy, do you routinely recommend an overnight admission for continued hemoglobin monitoring?
6 Answers available
What factors influence your decision between guidewire exchange versus removal and replacement through a new tunnel tract for patients with tunneled hemodialysis catheter mechanical failure?
Lazarus, et al., PMID: 38913437
1 Answer available
Below what ejection fraction would you avoid referral for AV access creation in a patient with advanced CKD and heart failure with reduced ejection fraction?
1 Answer available
How would you approach pursuing a kidney biopsy in a patient with suspected lupus nephritis who is on warfarin for antiphospholipid antibody syndrome? 
2 Answers available
Do you prefer performing a kidney biopsy on the left or right kidney if both kidneys appear similar on pre-biopsy imaging?
2 Answers available
How long do you recommend patients hold aspirin for prior to and after undergoing a native kidney biopsy?
1 Answer available
Do you perform a kidney ultrasound in patients following a kidney biopsy to evaluate for post-procedural complications?
2 Answers available
Are there instances when you recommend against a kidney biopsy in a patient with a single kidney who otherwise has indications for a biopsy, consents, and has no medical contraindications for the procedure?
1 Answer available
Do you rule out active urinary tract infections prior to performing a kidney biopsy?
2 Answers available
Are there instances when you recommend femoral vein dialysis catheter placement in patients newly started on hemodialysis in an effort to preserve upper extremity future fistula options?
1 Answer available
Do you recommend antibiotic prophylaxis for an ESKD patient with a tunneled dialysis catheter who is planned for a dental procedure?
2 Answers available
Do you assess the kidney tissue under a microscope following a kidney biopsy to determine the quality of the specimen obtained and if additional tissue is needed?
3 Answers available
Do you recommend patients temporarily hold cilostazol prior to and after a kidney biopsy?
1 Answer available
Are there instances when you would pursue a kidney biopsy in a pregnant patient instead of waiting to perform the procedure post-delivery?
2 Answers available
Which patients do you recommend referral to interventional radiology to perform a kidney biopsy?
1 Answer available
What are your top takeaways from ASN 2023?
2 Answers available
Is there a platelet count threshold when you would avoid performing a kidney biopsy in patients with thrombocytopenia?
1 Answer available
Are there instances when you perform a repeat kidney biopsy in patients whom tolerated the first procedure but are still without a definitive diagnosis?
1 Answer available
Do you recommend ligation of a functional arteriovenous fistula after kidney transplantation?
2 Answers available
Would you recommend avoiding PICC line placement in a kidney transplant patient with an estimated GFR of more than 45 ml/min/1.73m2 and no functional AV access?
2 Answers available
Below what platelet count would you avoid using an AV fistula in a patient with ESKD and thrombocytopenia?
1 Answer available
Would you recommend AV fistula placement in a CKD Stage 5 patient who is over the age of 80?
2 Answers available
What changes in AV access flows measured during hemodialysis would prompt you to refer for an angiogram?
1 Answer available
What is your approach to the use of desmopressin prior to performing a kidney biopsy to potentially prevent procedural associated bleeding?
1 Answer available
Under what conditions do you perform a post-procedural kidney ultrasound in patients who recently underwent a kidney biopsy?
1 Answer available
Do you require patients who undergo a kidney biopsy to be admitted to the hospital for observation?
1 Answer available
Do you advise patients to limit physical exertion including lifting heavy objects following a kidney biopsy?
1 Answer available


Papers discussed in this category

Journal of vascular and interventional radiology : JVIR, 2012 Apr 17
Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions.
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2009-08
The value of post-biopsy ultrasound in predicting complications after percutaneous renal biopsy of native kidneys.
POCUS J, 2022 Feb 01
Point of Care Ultrasound in Monitoring of Post-Renal Biopsy Bleeding.
Kidney Int, 2019 Jan
Hemodialysis vascular access in the elderly-getting it right.
American journal of kidney diseases : the official journal of the National Kidney Foundation, 2013-01
Thrombocytopenia associated with one type of polysulfone hemodialysis membrane: a report of 5 cases.
Seminars in dialysis, 2014
Thrombocytopenia in ESRD patients: epidemiology, mechanisms and interventional nephrology perspective.
Kidney Int, 2012 May 16
Hemodialysis effect on platelet count and function and hemodialysis-associated thrombocytopenia.
The journal of vascular access, 2020 May 15
How to manage catheter-related right atrial thrombosis: Our conservative approach.
Journal of the American Society of Nephrology : JASN, 2004-01
Timing of complications in percutaneous renal biopsy.
AJR. American journal of roentgenology, 2015-08
Management of Anticoagulant and Antiplatelet Medications in Adults Undergoing Percutaneous Interventions.
Journal of vascular and interventional radiology : JVIR, 2019 Jun 20
Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe.
Current cardiology reviews, 2021
Access-site Complications of the Transradial Approach: Rare But Still There.
Interactive cardiovascular and thoracic surgery, 2013 Nov 19
Should the radial artery be used as a bypass graft following radial access coronary angiography.
The American journal of cardiology, 2021 Aug 11
Meta-Analysis of Transradial Versus Transfemoral Access for Percutaneous Coronary Intervention in Patients With Chronic Kidney Disease.
Circulation, 2008 Jun 09
Bacteremia associated with toothbrushing and dental extraction.
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 1999 May-Jun
Prophylactic antibiotic therapy prior to dental treatment for patients with end-stage renal disease.
Nephrology (Carlton, Vic.), 2004 Jun
Antibiotic prophylaxis in dialysis patients undergoing invasive dental treatment.
Kidney international, 1978-07
Use of computerized tomography to diagnose complications of percutaneous renal biopsy.
Annals of clinical and laboratory science, 1982
Perinephric abscess: an unusual late infectious complication of renal biopsy.
American journal of kidney diseases : the official journal of the National Kidney Foundation, 2019 Jan 17
Update on the Native Kidney Biopsy: Core Curriculum 2019.
The Journal of urology, 1964 Apr
DEATH DUE TO SEPTICEMIA FOLLOWING PERCUTANEOUS NEEDLE BIOPSY OF THE KIDNEY.
Transplantation direct, 2021 Sep 07
Significance of Asymptomatic Pyelonephritis Found on Kidney Transplant Biopsy.
Mayo Clinic proceedings, 1995 Mar
Renal biopsy.
Kidney360, 2023 Mar 23
Effects of Aspirin on Kidney Biopsy Bleeding Complications: A Systematic Review and Meta-Analysis (PROSPERO 2021 CRD42021261005).
Nephrology (Carlton, Vic.), 2019 Oct 23
KHA-CARI Guideline recommendations for renal biopsy.
Clinical journal of the American Society of Nephrology : CJASN, 2024 Jun 24
Replacement Strategies for Tunneled Hemodialysis Catheters with Complications: A Nationwide Cohort Study.
The New England journal of medicine, 2024 Oct 26
Bi- and Monoallelic Variants and Chronic Kidney Disease in West Africans.
Atencion primaria, 1997 Sep 30
[The existing differences between adolescent girls served on a first visit in a family planning center in 2 time periods].
The New England journal of medicine, 2024 Oct 25
Long-Term Effects of Empagliflozin in Patients with Chronic Kidney Disease.

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