Major complications due to transjugular liver biopsy: Incidence, management and outcome

Diagnostic and Interventional Imaging
A DohanPhilippe Soyer

Abstract

The purpose of this study was to retrospectively evaluate the incidence of intraperitoneal bleeding and other major complications of transjugular liver biopsy (TJLB) and analyze their outcome and management. The clinical files of 341 consecutive patients who had TJLB were retrospectively analyzed. There were 237 men and 104 women (mean age: 51.38±12.8 years; range: 17-89 years). All patients had TJLB because standard percutaneous transhepatic biopsy was contraindicated. Patients' files were reviewed to search for major and minor procedure-related complications during or immediately after TJLB. TJLBs were technically successful in 331/341 patients (97.07%; 95%CI: 94.67-98.58%). Major complications consisted exclusively of intraperitoneal bleeding due to liver capsule perforation and were observed in 2/341 patients (0.59%; 95%CI: 0.07-2.10%). They were treated using transcatheter arterial or venous embolization with a favorable outcome. The most frequent minor complications were abdominal pain (35/341; 10.26%; 95%CI: 7.25-13.99%) and supraventricular arrhythmia (15/341; 4.40%; 95%CI: 2.48-7.15%). No cases of inadvertent injury of the carotid artery were observed. Major complications during TJLB are extremely rare and can be manag...Continue Reading

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Citations

Jan 3, 2016·Journal of Vascular and Interventional Radiology : JVIR·Jacob CynamonMarcy Jagust
Mar 8, 2016·Journal of Vascular and Interventional Radiology : JVIR·Osman AhmedNishita Kothary
May 29, 2018·Expert Review of Gastroenterology & Hepatology·Dirk J van LeeuwenThe International Liver Pathology Study Group
Jul 22, 2018·Journal of Pediatric Gastroenterology and Nutrition·Catherine A ChapinEstella M Alonso
Jul 2, 2019·Clinical and Translational Gastroenterology·Megan J SueStephen T Kee
Dec 31, 2019·Frontline Gastroenterology·Alexander BoydGwilym James Webb
Oct 13, 2020·Seminars in Interventional Radiology·Aaron D LoseyMaureen P Kohi
Aug 17, 2020·Journal of Vascular and Interventional Radiology : JVIR·Robert PengJacob Cynamon
Oct 19, 2020·Diagnostic and Interventional Imaging·F GrilletE Delabrousse
May 22, 2021·Clinical and Translational Gastroenterology·Edward Wolfgang LeeRonald W Busuttil
Sep 29, 2021·Gastroenterology·Nicolas M IntagliataJonathan G Stine

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