Journal of Vascular and Interventional Radiology
Volume 21, Issue 4 , Pages 508-514 , April 2010

Transjugular Biopsy Results in the Transplanted Liver: Comparison of Two Surgical Hepatic Venous Anastomotic Configurations in 269 Consecutive Biopsies over a 14-year Period

  • Michael J. Miller, MD

      Affiliations

    • Department of Radiology, Duke University Medical Center, Box 3808, Erwin Road, Room 1502, Durham, NC 27710
    • ,
  • Tony P. Smith, MD

      Affiliations

    • Department of Radiology, Duke University Medical Center, Box 3808, Erwin Road, Room 1502, Durham, NC 27710
    • Corresponding Author InformationAddress correspondence to T.P.S.
    • ,
  • Paul C. Kuo, MD, MBA

      Affiliations

    • Department of Surgery, Duke University Medical Center, Box 3808, Erwin Road, Room 1502, Durham, NC 27710
    • ,
  • Kenneth K. Hirasaki, MD

      Affiliations

    • Department of Radiology, Duke University Medical Center, Box 3808, Erwin Road, Room 1502, Durham, NC 27710
    • Present address: Salem Radiology Consultants, Salem, OR.
    • ,
  • Paul V. Suhocki, MD

      Affiliations

    • Department of Radiology, Duke University Medical Center, Box 3808, Erwin Road, Room 1502, Durham, NC 27710

Received 11 June 2009 ,Revised 15 November 2009 ,Accepted 19 November 2009.

References 

  1. Kalambokis G, Manousou P, Vibhakorn S, et al. Transjugular liver biopsy: indication, adequacy, quality of specimens and complications-a systemic review. J Hepatol. 2007;47:284–294
  2. Smith TP, Presson TL, Heneghan MA, Ryan JM. Transjugular liver biopsy in pediatric and adult patients using an 18-gauge automated core biopsy needle: a retrospective review of 410 consecutive procedures. AJR Am J Roentgenol. 2003;180:167–172
  3. Blasco AX, Forns X, Carrion JA, et al. Hepatic venous pressure gradient identifies patients at risk of severe hepatitis C recurrence after liver transplantation. Hepatology. 2006;43:492–499
  4. Chevallier P, Dausse F, Berthier F, et al. 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. Eur Radiol. 2007;17:169–173
  5. de Hoyos A, Loredo ML, Martínez MA, Gil MR. Use of a stiff guidewire in transjugular liver biopsy in patients with a pronounced angle of the suprahepatic veins. Ann Hepatol. 2004;3:72–72
  6. Abujudeh H, Huggins R, Patel A. Emergency transjugular liver biopsies in post-liver-transplant patients: technical success and utility. Emerg Radiol. 2004;10:268–269
  7. Richard HM, Cooper JM, Ahn J, Silberzweig JE, Emre SH, Mitty HA. Transjugular intrahepatic portosystemic shunts in the management of Budd-Chiari syndrome in the liver transplant patient with intractable ascites: anatomic considerations. J Vasc Interv Radiol. 1998;9:137–140
  8. Sacks D, McClenny TE, Cardella JF, Lewis CA. Society of Interventional Radiology clinical practice guidelines. J Vasc Interv Radiol. 2003;14:S199–S202
  9. Mammen T, Keshava SN, Eapen CE, et al. Transjugular liver biopsy: a retrospective analysis of 601 cases. J Vasc Interv Radiol. 2008;19:351–358
  10. Soyer P, Fargeaudou Y, Boudiaf M, Rymer R. Transjugular liver biopsy using sonographic guidance for jugular vein puncture and an automated device for hepatic tissue sampling: a retrospective analysis of 200 consecutive cases. Abdom Imaging. 2008;33:627–632
  11. Azoulay D, Raccuia JS, Roche B, Reynes M, Bismuth H. The value of early transjugular liver biopsy after liver transplantation. Transplantation. 1996;61:406–409
  12. Belghiti J, Noun R, Sauvanet A. Temporary portocaval anastomosis with preservation of caval flow during orthotopic liver transplantation. Am J Surg. 1995;169:277–279
  13. Cherqui D, Lauzet JY, Rotman N, et al. Orthotopic liver transplantation with preservation of the caval and portal flows: technique and results in 62 cases. Transplantation. 1994;58:793–796
  14. Kim KR, Ko GY, Sung KB, et al. Transjugular liver biopsy in patients with living donor liver transplantation: comparison with percutaneous biopsy. Liver Transpl. 2008;14:971–979

 From the SIR 2009 Annual Meeting.

 None of the authors have identified a conflict of interest.

PII: S1051-0443(10)00003-5

doi: 10.1016/j.jvir.2009.11.024

Journal of Vascular and Interventional Radiology
Volume 21, Issue 4 , Pages 508-514 , April 2010

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