Temporal artery biopsy: A technical guide and review of its importance and indications.
Surv Ophthalmol
; 68(1): 104-112, 2023.
Article
in En
| MEDLINE
| ID: mdl-35995251
ABSTRACT
Temporal artery biopsy (TAB) is a surgical procedure that enables the histological diagnosis of giant cell arteritis (GCA). Performing a TAB requires expertise and a precise approach. Nevertheless, available data supports the value of tissue diagnosis in managing GCA. The current therapeutic recommendation for GCA is long-term glucocorticoid therapy, with an increasing emphasis on the addition of immunosuppressants/biotherapies. Though effective, immunosuppressants and other such biotherapies may put the patient at more risk. Optimizing the diagnosis through tissue evaluation is therefore important in weighing the risks and benefits of initiating therapeutic intervention. We evaluate the evidence supporting the importance of TAB and its indications. We also describe what technical approaches should be used to maximize sensitivity and to avoid possible complications during the procedure.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Temporal Arteries
/
Giant Cell Arteritis
Type of study:
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
Surv Ophthalmol
Year:
2023
Document type:
Article