Transjugular liver biopsy: modified Ross transseptal needle versus Quick-core biopsy needle

被引：15

作者：

Choo, SW ^{[1
]}

Do, YS ^{[1
]}

Park, KB ^{[1
]}

Kim, SH ^{[1
]}

Han, YH ^{[1
]}

Choo, IW ^{[1
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol, Seoul 135710, South Korea

来源：

ABDOMINAL IMAGING | 2000年 / 25卷 / 05期

关键词：

liver disease; biopsy; interventional procedures; transjugular biopsy;

D O I：

10.1007/s002610000043

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: We evaluated the differences in sample adequacy and safety between a transseptal needle and Quick-core biopsy needle for transjugular liver biopsy. Methods: Eighteen consecutive patients who had a bleeding diatheses and/or ascites underwent transjugular liver biopsy using a transseptal needle (II patients) and Quick-core biopsy needle (seven patients), The length of the specimens was measured before fixation. A pathologist reviewed histologic slides for sample adequacy and pathologic diagnoses. Clinical records were reviewed for complication. Results: In all patients, liver biopsy was successful. A total of 45 specimens were obtained, with an average of 2.5 passes per patient. The length of specimen was significantly longer with the Quick-core biopsy needle than with the transseptal needle (p < 0.05). Biopsied tissue was fragmented in 17 of 25 specimens with the transseptal needle but not fragmented in any specimen with the Quick-core biopsy needle. All specimens were determined to be adequate except one with the transseptal needle. There was no early or delayed complication in any patient. Conclusion: Transjugular liver biopsy is a safe and effective procedure without any significant difference in complication and adequacy when using a transseptal needle or Quick-core biopsy needle. Larger specimens can be obtained without tissue fragmentation with the Quick-core biopsy needle.

引用

页码：483 / 485

页数：3

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