TY - JOUR
T1 - Temporal artery biopsy
T2 - A technical guide and review of its importance and indications
AU - Parreau, Simon
AU - Liozon, Eric
AU - Chen, John J.
AU - Curumthaullee, Muhammad F.
AU - Fauchais, Anne Laure
AU - Warrington, Kenneth J.
AU - Ly, Kim Heang
AU - Weyand, Cornelia M.
N1 - Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - 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.
AB - 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.
KW - Giant cell arteritis
KW - Histology
KW - Surgery
KW - Temporal artery biopsy
KW - Vasculitis
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U2 - 10.1016/j.survophthal.2022.08.008
DO - 10.1016/j.survophthal.2022.08.008
M3 - Review article
C2 - 35995251
AN - SCOPUS:85137740812
SN - 0039-6257
VL - 68
SP - 104
EP - 112
JO - Survey of ophthalmology
JF - Survey of ophthalmology
IS - 1
ER -