Transjugular liver biopsy using ultrasonographic guidance for jugular vein puncture and an automated device for hepatic tissue sampling: a retrospective analysis of 200 consecutive cases

Abdominal Imaging
P SoyerRoland Rymer

Abstract

We retrospectively evaluated the value of the combination of ultrasonographic guidance for jugular vein puncture and an automated biopsy device for transjugular liver biopsy. Transjugular liver biopsy was performed with ultrasonographic guidance for right internal jugular vein puncture and an automated device for hepatic tissue sampling (Quick-Core) in 200 consecutive patients in whom percutaneous transhepatic biopsy was contraindicated. Histopathologic specimens were reviewed for adequacy and complications related to the procedure were analyzed. Biopsies were technically successful in 198 of 200 (99%) patients. The two cases of technical failure were due to an acute angle between right hepatic vein and inferior vena cava (1%). Adequate gross hepatic tissue specimens (mean length, 11. 0 mm +/- 5.3; range, 5.0-20.0 mm) were obtained in 198 (99%) patients, allowing definitive histological diagnosis in 196 of 198 patients, for an overall success rate of 98%. Neither cases of inadvertent injury of the carotid artery nor life-threatening intraperitoneal bleeding were observed. Minor complications were noted in 24/200 (12%) patients. The combination of ultrasonographic guidance for jugular vein puncture and an automated biopsy device...Continue Reading

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Citations

Jun 28, 2011·AJR. American Journal of Roentgenology·Benjamin M YehPerry J Pickhardt
Aug 3, 2013·Cardiovascular and Interventional Radiology·Stéphanie Franchi-AbellaDerek J Roebuck
Nov 19, 2009·Gastroenterology Research and Practice·Max G BeckmannJochen Wedemeyer
Feb 22, 2011·Gastroenterología y hepatología·Ismael Yepes-BarretoRafael Bañares-Cañizares
Aug 3, 2010·The American Journal of Emergency Medicine·Esther H Chen, Alexander Nemeth
Jun 12, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Fen Qiang LiEunsil Yu
Sep 7, 2013·Diagnostic and Interventional Imaging·A DohanP Soyer
Mar 17, 2015·Diagnostic and Interventional Imaging·A DohanP Soyer
Oct 1, 2016·Journal of Vascular and Interventional Radiology : JVIR·Seulgi YouJinoo Kim
Jan 5, 2013·The American Journal of Gastroenterology·Zachary FrickerTheo Heller
Jul 8, 2021·Clinics in Liver Disease·Juan Pablo ArabAshwani K Singal

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