Transjugular versus Transfemoral Transcaval Liver Biopsy: A Single-Center Experience in 500 Cases

Peng, Robert Y.; Wattamwar, Kapil; Kuc, N.; Jagust, M.; Golowa, Y.; Cynamon, Jacob

doi:10.1016/j.jvir.2020.05.024

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…In general, EUS-guided fine-needle aspiration (EUS-FNA) for various diseases should be performed with caution in patients with abnormal coagulation [17], and the recommendation is to consider alternative biopsy methods if possible. With TJLB, safely collecting liver tissue is feasible even in the aforementioned high risk patients who are ineligible for PLB under ultrasound guidance or in patients in whom the procedure is difficult to perform, and patients benefit from the increase in techniques to choose from [18][19][20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Transjugular Liver Biopsy for Japanese Patients with Chronic Liver Diseases

et al. 2021

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Background and study aim: Transjugular liver biopsy (TJLB) can be used in patients who are ineligible for percutaneous liver biopsy (PLB) with acute and chronic hepatic disease. This study aimed to evaluate the usefulness and safety of TJLB in patients who were not indicated for PLB. Methods: Between July 2014 and February 2019, a total of 134 patients underwent liver biopsies at our institution. Among these, PLB was performed in 110 patients and TJLB in 24 patients. A retrospective comparison of clinical results in these patients was then performed. The primary endpoints of this study were the utility and safety of TJLB in patients who were not indicated for PLB. Results: The procedural success rate was 100% in both groups. The clinical response rate and the effective tissue sampling rate were 100% in the TJLB group and 97% in the PLB group (p = 0.55). There was no difference in the number of portal fields examined retrospectively between the two groups. No serious adverse events were observed in either group. Conclusions: It is suggested that TJLB is useful because it can be safely performed in patients with poor general condition who are not indicated for PLB.

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Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Transjugular Liver Biopsy for Japanese Patients with Chronic Liver Diseases

et al. 2021

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“…6 8 Hepatic venous occlusion seen in Budd–Chiari syndrome prevents access to the hepatic veins and therefore hepatic and portal venous pressure measurements, although transcaval hepatic biopsy can still be performed. 17 Liver transplant with piggyback anastomosis, though not a true contraindication, may make accessing the hepatic veins more technically challenging leading to a higher failure rate. 18 Cardiac arrhythmia may also prevent safe right heart passage and require femoral venous access.…”

Section: Contraindicationsmentioning

confidence: 99%

Liver Biopsy and Pressure Hemodynamics: IR Perspective

Jain,

Hughes III,

Tavri

2023

Digestive Disease Interventions

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Liver biopsy is important for staging of liver disease and cirrhosis and can be performed by many techniques. While percutaneous biopsy is fast, safe, effective, and widely available, transvenous biopsy, most often performed from the transjugular approach, offers many advantages for selected patients. In the setting of suspected or confirmed portal hypertension, transjugular liver biopsy (TJLB), most commonly performed by interventional radiologists, can be used to simultaneously obtain core biopsies of the liver and measure hemodynamic pressures in the right atrium, hepatic vein, and portal vein to calculate a hepatic venous pressure gradient. TJLB can be performed safely when percutaneous biopsy is contraindicated, including in the setting of ascites, coagulopathy, anticoagulation, and other high-risk bleeding situations. The procedure can be performed in the outpatient setting in a short period of time for most patients and without the use of precious anesthesia resources. Hepatic venography also allows for variant anatomy evaluation that may be important in the diagnosis and planning of future procedures, such as transjugular intrahepatic portosystemic shunt.

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Mirror Mirror: TIPS in Situs Inversus with Transfemoral Transcaval Guidance

Gans

Cynamon

2023

Extreme IR

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Transjugular versus Transfemoral Transcaval Liver Biopsy: A Single-Center Experience in 500 Cases

Cited by 6 publications

References 18 publications

Feasibility and Safety of Transjugular Liver Biopsy for Japanese Patients with Chronic Liver Diseases

Feasibility and Safety of Transjugular Liver Biopsy for Japanese Patients with Chronic Liver Diseases

Liver Biopsy and Pressure Hemodynamics: IR Perspective

Mirror Mirror: TIPS in Situs Inversus with Transfemoral Transcaval Guidance

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