How would you approach pursuing a kidney biopsy in a patient with suspected lupus nephritis who is on warfarin for antiphospholipid antibody syndrome? 

This is a decision to be made carefully involving multiple specialists. Personally have had a bad experience with resuming anticoagulation after kidney biopsy. I have seen patients bleed even one week after doing the kidney biopsy when resuming anticoagulation. Can switch to a heparin drip before th...

I agree with Dr. @Dr. First Last. Guidelines suggest stopping warfarin 3-5 days prior to a percutaneous kidney biopsy. Subcutaneous short-acting low molecular weight heparin for the outpatient or intravenous heparin for the inpatient can be used as bridging anticoagulation until 8-12 hours prior to ...