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Erschienen in: CardioVascular and Interventional Radiology 3/2010

01.06.2010 | Clinical Investigation

A Comparison of Transjugular and Plugged-Percutaneous Liver Biopsy in Patients with Contraindications to Ordinary Percutaneous Liver Biopsy and an “In-House” Protocol for Selecting the Procedure of Choice

verfasst von: Eli Atar, Ziv Ben Ari, Gil N. Bachar, Yelena Amlinski, Chaim Neyman, Michael Knizhnik, Sergey Litvin, Hemda Schmilovitz-Weiss, Riki Shapiro, Elchanan Bruckhaimer, Ran Tur-Kaspa, Alexander Belenky

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 3/2010

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Abstract

The purpose of this study was to evaluate the effectiveness and safety of transjugular liver biopsy (TJLB) and plugged-percutaneous liver biopsy (PB) in consecutive patients with severe liver disease associated with impaired coagulation, ascites, or both and to verify the in-house protocol used to select the appropriate procedure. In 2000–2006, 329 patients (208 male [62.8%] and 121 female [37.2%]), aged 1 month to 81 years (mean, 46.8 years), underwent 150 TJLBs (39.1%) or 233 PBs (60.9%) procedures at a major tertiary center, as determined by an in-house protocol. The groups were compared for specimen characteristics, technical success, and complications. Technical success rates were 97.4% for TJLB (146/150) and 99.1% for PB (231/233). TJLB was associated with a lower average core length (1.29 vs. 1.43 cm) and lower average number of specimens obtained (2.44 vs. 2.8), but both methods yielded sufficient tissue for a definitive diagnosis. There were no major complications in either group. TJLB and PB can be safely and effectively performed for the diagnosis of hepatic disease in patients with contraindications for standard percutaneous liver biopsy. When both are technically available, we suggest PB as the procedure of choice, especially in transplanted livers.
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Metadaten
Titel
A Comparison of Transjugular and Plugged-Percutaneous Liver Biopsy in Patients with Contraindications to Ordinary Percutaneous Liver Biopsy and an “In-House” Protocol for Selecting the Procedure of Choice
verfasst von
Eli Atar
Ziv Ben Ari
Gil N. Bachar
Yelena Amlinski
Chaim Neyman
Michael Knizhnik
Sergey Litvin
Hemda Schmilovitz-Weiss
Riki Shapiro
Elchanan Bruckhaimer
Ran Tur-Kaspa
Alexander Belenky
Publikationsdatum
01.06.2010
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 3/2010
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-009-9743-z

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