[Transvenous liver biopsy].
In patients with an indication for histological evaluation of diffuse liver disease a transvenous approach may be advisable if a percutaneous technique is contraindicated by severe coagulopathy or ascites. In general, the procedure may be performed as an aspiration core, or forceps biopsy technique using a transjugular approach. Alternatively, the forceps biopsy technique may be performed via a transfemoral access. Adequate specimens for histologic diagnosis may be obtained in 77-100% with either biopsy technique. Complications after transvenous liver biopsies occur in 0-20% with an overall mortality rate below 0.5%. Although the transvenous liver biopsy techniques take more time and are more expensive than percutaneous biopsy techniques, they represent a safe and effective alternative for obtaining adequate liver samples for histological diagnosis in special clinical settings.
Klinik für Radiologische Diagnostik, Universitätsklinikum der RWTH Aachen. joerg.neuerburg@ejk.de
J
J
Neuerburg
R W
RW
Günther
D001706:Biopsy / Q000295:instrumentation*; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D010690:Phlebography / Q000295:instrumentation
Transvenöse Leberbiopsie.