Skip to main content
Top
Published in: European Radiology 1/2007

01-01-2007 | Vascular-Interventional

Transjugular liver biopsy: prospective evaluation of the angle formed between the hepatic veins and the vena cava main axis and modification of a semi-automated biopsy device in cases of an unfavorable angle

Authors: P. Chevallier, F. Dausse, F. Berthier, M. C. Saint-Paul, A. Denys, P. Schnyder, J. N. Bruneton

Published in: European Radiology | Issue 1/2007

Login to get access

Abstract

In cases of transjugular liver biopsies, the venous angle formed between the chosen hepatic vein and the vena cava main axis in a frontal plane can be large, leading to technical difficulties. In a prospective study including 139 consecutive patients who underwent transjugular liver biopsy using the Quick-Core biopsy set, the mean venous angle was equal to 49.6°. For 21.1% of the patients, two attempts at hepatic venous catheterization failed because the venous angle was too large, with a mean of 69.7°. In all of these patients, manual reshaping of the distal curvature of the stiffening metallic cannula, by forming a new mean angle equal to 48°, allowed successful completion of the procedure in less than 10 min.
Literature
1.
go back to reference Dotter CT (1964) Catheter biopsy: experimental technique for transvenous liver biopsy. Radiology 82:312–314PubMed Dotter CT (1964) Catheter biopsy: experimental technique for transvenous liver biopsy. Radiology 82:312–314PubMed
2.
go back to reference Mc Afee JH, Keeffe EB, Lee RG, Rosch J (1992) Transjugular liver biopsy. Hepatology 15:726–732CrossRef Mc Afee JH, Keeffe EB, Lee RG, Rosch J (1992) Transjugular liver biopsy. Hepatology 15:726–732CrossRef
3.
go back to reference Choo SW, Do YS, Park KB, Kim SH, Han YH, Choo I (2000) Transjugular liver biopsy: modified Ross transseptal needle versus Quick-core biopsy needle. Abdom Imaging 25:483–485PubMedCrossRef Choo SW, Do YS, Park KB, Kim SH, Han YH, Choo I (2000) Transjugular liver biopsy: modified Ross transseptal needle versus Quick-core biopsy needle. Abdom Imaging 25:483–485PubMedCrossRef
4.
go back to reference Sada PN, Ramakrishna B, Thomas CP, Govil S, Koshi T, Chandy G (1997) Transjugular liver biopsy: a comparison of aspiration and trucut techniques. Liver 17:257–259PubMed Sada PN, Ramakrishna B, Thomas CP, Govil S, Koshi T, Chandy G (1997) Transjugular liver biopsy: a comparison of aspiration and trucut techniques. Liver 17:257–259PubMed
5.
go back to reference Banares R, Alonso S, Catalina MV, Casado M, Rincon D, Salcedo M, Alvarez E, Guerrero C, Echenagusia A, Camunez F, Simo G (2001) Randomized controlled trial of aspiration needle versus automated biopsy device for transjugular liver biopsy. J Vasc Interv Radiol 12:583–587PubMedCrossRef Banares R, Alonso S, Catalina MV, Casado M, Rincon D, Salcedo M, Alvarez E, Guerrero C, Echenagusia A, Camunez F, Simo G (2001) Randomized controlled trial of aspiration needle versus automated biopsy device for transjugular liver biopsy. J Vasc Interv Radiol 12:583–587PubMedCrossRef
6.
go back to reference Lebrec D, Goldfarb G, Degott C, Rueff B, Benhamou JP (1982) Transvenous liver biopsy. An experience based on 1000 hepatic tissue samplings with this procedure. Gastroenterology 83:338–340PubMed Lebrec D, Goldfarb G, Degott C, Rueff B, Benhamou JP (1982) Transvenous liver biopsy. An experience based on 1000 hepatic tissue samplings with this procedure. Gastroenterology 83:338–340PubMed
7.
go back to reference Papatheodoridis GV, Patch D, Watkinson A, Tibballs J, Burroughs AK (1999) Transjugular liver biopsy in the 1990s: a 2-year audit. Aliment Pharmacol Ther 13:603–608PubMedCrossRef Papatheodoridis GV, Patch D, Watkinson A, Tibballs J, Burroughs AK (1999) Transjugular liver biopsy in the 1990s: a 2-year audit. Aliment Pharmacol Ther 13:603–608PubMedCrossRef
8.
go back to reference Brenard R, Horsmans Y, Rahier J, Druez P, Descamps C, Geubel A (1997) Transjugular liver biopsy. An experience based on 500 procedures. Acta Gastroenterol Belg 60:138–141PubMed Brenard R, Horsmans Y, Rahier J, Druez P, Descamps C, Geubel A (1997) Transjugular liver biopsy. An experience based on 500 procedures. Acta Gastroenterol Belg 60:138–141PubMed
9.
go back to reference Psooy BJ, Clark TWI, Beecroft JR, Malatjalian D (2001) Transjugular liver biopsy with use of the shark jaw needle: diagnostic yield, complications, and cost-effectiveness. J Vasc Interv Radiol 12:61–65PubMedCrossRef Psooy BJ, Clark TWI, Beecroft JR, Malatjalian D (2001) Transjugular liver biopsy with use of the shark jaw needle: diagnostic yield, complications, and cost-effectiveness. J Vasc Interv Radiol 12:61–65PubMedCrossRef
10.
go back to reference Goldman ML, Gonzalez AC, Galambos JT, Gordon IJ, Oen KT (1978) The transjugular technique of hepatic venography and biopsy, cholangiography, and obliteration of esophageal varices. Radiology 128:325–331PubMed Goldman ML, Gonzalez AC, Galambos JT, Gordon IJ, Oen KT (1978) The transjugular technique of hepatic venography and biopsy, cholangiography, and obliteration of esophageal varices. Radiology 128:325–331PubMed
11.
go back to reference Middlebrook M, Cohen AM, Wallace MJ, Clark J, Galati J (1999) Improved method for transjugular liver biopsy. J Vasc Interv Radiol 10:807–809PubMedCrossRef Middlebrook M, Cohen AM, Wallace MJ, Clark J, Galati J (1999) Improved method for transjugular liver biopsy. J Vasc Interv Radiol 10:807–809PubMedCrossRef
12.
go back to reference de Hoyos A, Loredo ML, Martinez MA, Gil MR (2004) Use of a stiff guidewire in transjugular liver biopsy in patients with a pronounced angle of the suprahepatic veins. Ann Hepatol 3:72–73PubMed de Hoyos A, Loredo ML, Martinez MA, Gil MR (2004) Use of a stiff guidewire in transjugular liver biopsy in patients with a pronounced angle of the suprahepatic veins. Ann Hepatol 3:72–73PubMed
13.
go back to reference Trerotola SO, Venbrux AC, Osterman FA (1991) Use of a guard wire during transjugular liver biopsy with the Colapinto needle. Technical note. J Vasc Interv Radiol 2:563–564PubMedCrossRef Trerotola SO, Venbrux AC, Osterman FA (1991) Use of a guard wire during transjugular liver biopsy with the Colapinto needle. Technical note. J Vasc Interv Radiol 2:563–564PubMedCrossRef
14.
go back to reference Nousbaum JB, Cadranel JF, Bonnemaison G, Bourliere M, Chiche L, Chor H, Denninger MH, Degos F, Jacquemin E, Le Bail B, Loustaud-Ratti V, Pelletier G, Soyer P, Zins M (2002) Clinical pratice guidelines on the use of liver biopsy. Gastroenterol Clin Biol 26:848–878PubMed Nousbaum JB, Cadranel JF, Bonnemaison G, Bourliere M, Chiche L, Chor H, Denninger MH, Degos F, Jacquemin E, Le Bail B, Loustaud-Ratti V, Pelletier G, Soyer P, Zins M (2002) Clinical pratice guidelines on the use of liver biopsy. Gastroenterol Clin Biol 26:848–878PubMed
15.
go back to reference Omary RA, Bettman MA, Cardella JF, Bakal CW, Schwartzberg MS, Sacks D, Rholl KS, Meranze SG, Lewis CA, Society of Interventional Radiology Standards of Practice Committee (2003) Quality improvement guidelines for the reporting and archiving of interventional procedures. J Vasc Interv Radiol 14 (Suppl):S293–S295PubMed Omary RA, Bettman MA, Cardella JF, Bakal CW, Schwartzberg MS, Sacks D, Rholl KS, Meranze SG, Lewis CA, Society of Interventional Radiology Standards of Practice Committee (2003) Quality improvement guidelines for the reporting and archiving of interventional procedures. J Vasc Interv Radiol 14 (Suppl):S293–S295PubMed
16.
go back to reference Bismuth H, Aldridge MC, Kurstlinger F (1991) Macroscopic anatomy of the liver. In: McIntyre N, Benhamou JP, Bircher J, Rizzetto M, Rodes J (eds) Oxford textbook of clinical hepatology. Oxford University Press, New York, pp 3–11 Bismuth H, Aldridge MC, Kurstlinger F (1991) Macroscopic anatomy of the liver. In: McIntyre N, Benhamou JP, Bircher J, Rizzetto M, Rodes J (eds) Oxford textbook of clinical hepatology. Oxford University Press, New York, pp 3–11
17.
go back to reference Smith TP, Presson TL, Heneghan MA, Ryan JM (2003) Transjugular biopsy of the liver in pediatric and adult patients using an 18-gauge automated core biopsy needle: a retrospective review of 410 consecutive procedures. AJR 180:167–172PubMed Smith TP, Presson TL, Heneghan MA, Ryan JM (2003) Transjugular biopsy of the liver in pediatric and adult patients using an 18-gauge automated core biopsy needle: a retrospective review of 410 consecutive procedures. AJR 180:167–172PubMed
18.
go back to reference Hausegger KA, Tauss J, Karaic K, Klein GE, Uggowitzer M (1998) Use of the left internal jugular vein approach for transjugular portosystemic shunt. AJR 171:1637–1639PubMed Hausegger KA, Tauss J, Karaic K, Klein GE, Uggowitzer M (1998) Use of the left internal jugular vein approach for transjugular portosystemic shunt. AJR 171:1637–1639PubMed
Metadata
Title
Transjugular liver biopsy: prospective evaluation of the angle formed between the hepatic veins and the vena cava main axis and modification of a semi-automated biopsy device in cases of an unfavorable angle
Authors
P. Chevallier
F. Dausse
F. Berthier
M. C. Saint-Paul
A. Denys
P. Schnyder
J. N. Bruneton
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
European Radiology / Issue 1/2007
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-006-0256-8

Other articles of this Issue 1/2007

European Radiology 1/2007 Go to the issue