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Radiology, Vol 204, 369-372, Copyright © 1997 by Radiological Society of North America

ARTICLES

Transjugular liver biopsy with an automated device

M Kardache, P Soyer, M Boudiaf, B Cochand-Priollet, JP Pelage and R Rymer
Department of Radiology, Hopital Lariboisiere, Paris, France.

PURPOSE: To determine the potential for use of an automated device for transjugular liver biopsy. MATERIALS AND METHODS: In 29 consecutive patients with liver dysfunction in whom percutaneous transperitoneal biopsy was contraindicated because of thrombocytopenia, severe coagulopathy, or marked ascites, transjugular liver biopsy was performed with an 18-gauge automated device. Histopathologic specimens were quantitatively and qualitatively analyzed. Complications related to the biopsy procedure were noted. RESULTS: In all patients, an adequate biopsy specimen (mean length, 12.0 mm +/- 5.5; range, 5.0-20.0 mm) was obtained during a single pass. In all tissue samples, a confident histopathologic diagnosis was made. Additional information was obtained in 15 patients with cirrhosis who had coexisting diffuse hepatic disease. No complications related to the procedure were noted. CONCLUSION: Use of an automated biopsy device is recommended for transjugular liver biopsy, as it enables safe acquisition of high- quality hepatic tissue samples.


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