Abstract
A prospective randomized study was performed to compare conventional right internal jugular vein catheterization technique with high-resolution sonographically guided catheterization for transjugular liver biopsy. Forty-seven patients were assigned to undergo either conventional or high-resolution sonographically guided right internal jugular vein catheterization for transjugular liver biopsy. Sonographic guidance was significantly better than conventional guidance, reducing the number of failed catheterizations from 22% (5 of 23) to 0% (0 of 24) (p<.05). Sonography also reduced the mean number (± SD) of passes required to catheterize the vein from 4.21±1.53 to 1.54±0.66 (p<.001) and was successful in 100% (5 of 5) of patients in whom conventional catheterization failed. High-resolution sonographic guidance is strongly recommended for transjugular liver biopsy in patients at high risk for bleeding.
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Soyer, P., Lacheheb, D. & Levesque, M. High-resolution sonographic guidance for transjugular liver biopsy. Abdom Imaging 18, 360–362 (1993). https://doi.org/10.1007/BF00201782
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DOI: https://doi.org/10.1007/BF00201782