Copyright
©2006 Baishideng Publishing Group Co.
World J Gastroenterol. Oct 21, 2006; 12(39): 6339-6342
Published online Oct 21, 2006. doi: 10.3748/wjg.v12.i39.6339
Published online Oct 21, 2006. doi: 10.3748/wjg.v12.i39.6339
Table 1 Indications for transjugular approach to liver biopsy
| (1) Increased risk of liver bleeding: 16 cases (53.3%) |
| Severe coagulation disorders (14 cases) including: |
| -Thrombocytopenia: 1 cases (due to hypersplenism or hematological disorders) |
| -Fulminant hepatitis (Severe acute hepatitis): 13 cases |
| Miscellaneous disorders (2 cases) including: |
| -Hematological diseases (DIC): 2 cases |
| (2) Measurement of hepatic pressure gradient: 4 cases (13.3%) |
| (3) Massive ascites: 5 cases (16.6%) |
| (4) Miscellaneous: suspicion of amyloidosis or peliosis, obesity, failure of percutaneous liver biopsy: 5 cases (16.6%) |
Table 2 Clinical features of patients
| Clinical feature | New device(n = 18) | Quick-core biopsy needle(n = 12 ) |
| Sex (M/F) | 9/9 | 6/6 |
| Mean age ± SD (range) (yr) | 46.6 ± 15.4 (22-72) | 49.4 ± 16.3 (27-75) |
| Indications | ||
| Increased risk of bleeding: | 9 | 7 |
| Measurement of hepatic pressure gradient: | 3 | 1 |
| Massive ascites: | 3 | 2 |
| Miscellaneous: | 3 | 2 |
Table 3 Final diagnosis of successful biopsies (n = 30)
| (1) Liver cirrhosis: 9 cases (30.0%) |
| Alcohol: 5 cases AIH: 3 cases IPH: 1 case |
| (2) Viral hepatitis: 14 cases (46.6%) |
| Fulminant: Massive necrosis: 4 cases, Submassive necrosis: 9 cases, |
| Chronic: 1 case |
| (3) Unknown Origin: 2 cases (6.6%) |
| Focal necrosis: 2 cases |
| (4) Tumoral diseases: 2 cases (6.6%) |
| Metastasis: 1 case, Lymphoma: 1 case |
| (5) Others: 3 cases (9.9%) |
| Intrahepatic cholestassis: 1 case, NASH s/o: 1 case, |
| Amyloidosis s/o: 1 case |
Table 4 Biopsy specimens obtained in successful attempts
| New device(n = 18) | Quick-core biopsy needle(n = 12) | |
| Tissue Length (mm) | 15.3 ± 5.1 (10-21) | 6.8 ± 2.1 (3-10) |
| Number of portal triads | 6.5 ± 1.2 | 3.5 ± 0.6 |
| Number of fragments | 0/18 (0%) | 3/12 (25%) |
| Number of passes | 1.1 ± 0.2 | 1.8 ± 0.8 |
| Minutes (min) | 28.5 ± 7.9 | 45.1 ± 9.9 |
Table 5 Complications of transjugular liver biopsy
| New device(n = 18) | Quick-core biopsy needle(n = 12 ) | |
| Cardiac arrhythmia | ||
| (Supraventricular tachycardia) | 1 | 2 |
| Transient fever | 0 | 1 |
| Transient abdominal pain | 1 | 3 |
- Citation: Ishikawa T, Kamimura H, Tsuchiya A, Togashi T, Watanabe K, Seki KI, Ohta H, Yoshida T, Ishihara N, Kamimura T. Comparison of a new aspiration needle device and the Quick-Core biopsy needle for transjugular liver biopsy. World J Gastroenterol 2006; 12(39): 6339-6342
- URL: https://www.wjgnet.com/1007-9327/full/v12/i39/6339.htm
- DOI: https://dx.doi.org/10.3748/wjg.v12.i39.6339