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Do you prefer performing a kidney biopsy on the left or right kidney if both kidneys appear similar on pre-biopsy imaging?

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Do you prefer performing a kidney biopsy on the left or right kidney if both kidneys appear similar on pre-biopsy imaging?

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2 Answers
Mednet MemberInvited Expert
Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

At my institution, we have been biopsying almost exclusively the left kidney per the radiologist's preference. My teaching has been that we should prefer to biopsy the right kidney as if the spleen is enlarged then stabbing that with a needle is more risky than stabbing the liver. These days, with more precise ultrasound techniques, especially if done by interventional radiology, I don't know if it matters.

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Mednet Member
Nephrology · Valley Nephrology Associates
Answered on

Amazed that so far in tally more R than L!

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