Transjugular liver biopsy: a comparison of aspiration and trucut techniques

Abstract

: The results of 67 transjugular liver biopsies are described. Two failures were encountered due to inability to pass the needle into acutely angulated hepatic veins. Thirty‐four patients underwent a liver aspiration biopsy using a Colapinto needle, while the remainder were biopsied using a trucut needle. The success rate with the Colapinto needle was 68% and with the trucut model, 97%. Capsular perforation occurred in three cases, but without significant morbidity or mortality. It is concluded that the trucut needle biopsy is more reliable than aspiration biopsy, when the transjugular approach is mandated, in obtaining optimal liver tissue for histopathological diagnosis.

Feasibility and yield of a new EUS histology needle: results from a multicenter, pooled, cohort study

“…[11][12][13][14][15][16][17][18] These specimens have been obtained by several routes (percutaneous, intraluminal, and surgical). [16][17][18][19][20][21][22] Safety and accuracy of cutting biopsy have been demonstrated. 16,[22][23][24] Various EUS-guided techniques have been explored to retrieve tissue specimens, including FNA and Tru-Cut (Cardinal Health, Dublin, Ohio) needles, with variable success and complication rates.…”

Transjugular liver biopsy – Indications, adequacy, quality of specimens, and complications – A systematic review

“…In total, 60 studies (57 full papers and three abstracts) published between 1978 and 2006 met the inclusion criteria. Four studies [40,42,43,45] separately described and analyzed two different TJLB series (Menghini and Tru-Cut needle), which were considered separately giving a total of 64 series. Centers performing P100 TJLBs were considered more experienced and more recent publications (after 1996) as those encompassing longer experience (timerelated).…”

Evaluation of the adequacy and diagnostic accuracy of the histology samples obtained with a newly designed 19-gauge EUS histology needle

“…These specimens have been obtained by several routes (percutaneous, intraluminal and surgical) (16)(17)(18)(19)(20)(21)(22), and safety and accuracy of cutting biopsy have been previously demonstrated (16,(22)(23)(24).…”