Transjugular liver biopsy: method of choice for taking a biopsy.
A transjugular liver biopsy is a route of obtaining a biopsy of the liver for the diagnosis and management of patients with hepatic disease. In this article the author will demonstrate how a liver biopsy via the transjugular route is taken using X-ray guidance and will describe the method step-by-step as it is performed at the Royal Free Hospital. Finally, the indications and advantages of using this method will be considered. This article should increase awareness of what a transjugular liver biopsy is and inform the reader of how a tissue sample is taken, thus enabling further understanding of the procedure. It is concluded that the transjugular route of obtaining a liver biopsy enables a good size and quality of sample to be taken in a safe and effective manner with only one pass (one attempt) being required. This method involves minimal complications and has many advantages.
Karamshi
M
M
X-ray Special Suite-Special Investigations, Royal Free Hospital, Hampstead, UK.
D001706:Biopsy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000451:nursing; D002755:Choice Behavior; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000451:nursing / Q000473:pathology*; D024802:Nurse's Role; D010347:Patient Care Planning; D018579:Patient Selection; D015641:Radiography, Interventional / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000451:nursing