Transfemoral liver biopsy by forceps: A review of 104 consecutive procedures

Teare, Julian; Watkinson, Anthony; Erb, Siegfried R.; Mayo, John R.; Connell, D G; Weir, Ian H.; Owen, David A.; Wolber, Robert; Morris, D.C.

doi:10.1007/bf00192447

Cited by 13 publications

(3 citation statements)

References 21 publications

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“…TJLB with a biopsy forceps is usually a feasible alternative. In addition, several investigators also have reported high safety and efficacy for transfemoral liver biopsy with a biopsy forceps; however, the obtained liver specimens are often suboptimal because of excessive tissue fragmentation and small volumes. Two of our study patients had histories of TJLB with a biopsy forceps, but the obtained liver specimens were suboptimal for histological diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Transfemoral liver biopsy using a Quick-Core biopsy needle system in living donor liver transplantation recipients

Sung

et al. 2014

Liver Transpl

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The purpose of this study was to evaluate the efficacy and safety of transfemoral liver biopsy with a Quick-Core biopsy needle in select living donor liver transplantation (LDLT) recipients. Eight LDLT recipients underwent 9 transfemoral liver biopsy sessions. Six patients had undergone modified right lobe (mRL) LDLT, and 2 patients had undergone dual-left lobe LDLT. The indications for transfemoral liver biopsy were a hepatic vein (HV) at an acute angle to the inferior vena cava (IVC) on the coronal plane and a thin (<10-mm) liver parenchyma surrounding the HV to be biopsied on enhanced computed tomography. Under fluoroscopic guidance, the right inferior HV in the mRL or the left HV in the right-sided left lobe with a cranial orientation was negotiated with a 5-Fr catheter via the common femoral vein. Then, a stiffening cannula was introduced into the HV over a stiff guide wire. Needle passage was then performed with an 18-or 19-gauge Quick-Core biopsy needle. Technical success was achieved in all sessions without major complications. The median number of needle passages was 4 (range 5 2-6). The median total length of obtained liver specimens in each session was 44 mm (range 5 24-75 mm). The median number of portal tracts was 18 (range 5 10-29), and the obtained liver specimens were adequate for histological diagnosis in all sessions. In conclusion, transfemoral liver biopsy with a Quick-Core biopsy needle is an effective and safe alternative for obtaining a liver specimen when standard transjugular liver biopsy is not feasible because of an unfavorable HV angle with respect to the IVC and/or a thin liver parenchyma surrounding the HV.

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Section: Discussionmentioning

confidence: 99%

Transfemoral liver biopsy using a Quick-Core biopsy needle system in living donor liver transplantation recipients

Sung

et al. 2014

Liver Transpl

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“…Using standard techniques, the femoral vein, usually that on the right, is punctured and catheterized in order to achieve access to the inferior vena cava. 5 Using a cobra-shaped catheter it is possible to catheterize the hepatic veins, and a venogram is usually obtained in order to demonstrate anatomy. Pressures are obtained within the vena cava, the free hepatic vein, as well as wedged within the hepatic vein to document the degree of portal hypertension.…”

Section: Techniquementioning

confidence: 99%

“…In addition, many patients find use of a transjugular route disagreeable, but tolerate a transfemoral route more readily. 5,6 In the present article we briefly outline our technique for transfemoral venous liver biopsy and illustrate some of the problems and complications we have encountered, with suggestions for subsequent management.…”

Section: Introductionmentioning

confidence: 99%

Transfemoral venous liver biopsy: Common problems and complications

Munk

Morris

Connell³

et al. 1999

Australasian Radiology

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Liver biopsy is still most commonly done via the percutaneous route; however, increasingly, transvascular venous liver biopsy has been used in patients with bleeding disorders. Although the jugular route is now generally favoured, a transfemoral route can be a useful alternative technique when the jugular route is not available. We describe the transfemoral technique and outline a number of commonly encountered problems and complications and suggested methods of addressing them.

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