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Tytuł:
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Safety and Efficacy of Transjugular Liver Biopsy in Patients with Left Lobe-Only Liver Transplants.
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Autorzy:
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Lee KA; Charles T. Dotter Department of Interventional Radiology, Oregon Health & Sciences University, Portland, Oregon.
Taylor A; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-361, San Francisco, CA 94143. Electronic address: .
Bartolome B; Department of Internal Medicine, University of California, Davis, Sacramento, California.
Fidelman N; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-361, San Francisco, CA 94143.
Kolli KP; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-361, San Francisco, CA 94143.
Kohi M; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-361, San Francisco, CA 94143.
Kohlbrenner R; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-361, San Francisco, CA 94143.
Laberge J; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-361, San Francisco, CA 94143.
Lehrman E; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-361, San Francisco, CA 94143.
Kerlan R Jr; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-361, San Francisco, CA 94143.
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Źródło:
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Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2019 Jul; Vol. 30 (7), pp. 1043-1047. Date of Electronic Publication: 2019 Feb 14.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Reston, Va. : Society of Cardiovascular and Interventional Radiology, c1990-
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MeSH Terms:
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Hepatic Veins*/diagnostic imaging
Jugular Veins*/diagnostic imaging
Liver Transplantation*/adverse effects
Biopsy, Needle/*methods
Catheterization, Central Venous/*methods
Image-Guided Biopsy/*methods
Postoperative Complications/*pathology
Adolescent ; Adult ; Aged ; Angiography, Digital Subtraction ; Biopsy, Needle/adverse effects ; Catheterization, Central Venous/adverse effects ; Female ; Humans ; Image-Guided Biopsy/adverse effects ; Male ; Middle Aged ; Phlebography ; Postoperative Complications/etiology ; Predictive Value of Tests ; Radiography, Interventional ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Young Adult
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Entry Date(s):
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Date Created: 20190218 Date Completed: 20200106 Latest Revision: 20200106
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Update Code:
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20240105
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DOI:
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10.1016/j.jvir.2018.07.026
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PMID:
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30772167
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Purpose: To evaluate efficacy and safety of transjugular liver biopsy (TJLB) via the left hepatic vein in patients with left lobe-only liver transplants (LLOTs).
Materials and Methods: Retrospective review revealed 43 TJLBs performed in 26 patients with LLOTs (mean age 51.3 y; range, 18-73 y) between January 2009 and June 2016 at a single institution. A comparison group of 44 randomly selected TJLBs performed in 37 orthotopic whole liver transplant (OWLT) recipients (mean age 57.6 y; range, 35-74 y) during the same time period was evaluated. Patient demographics, type and age of transplant, technical success, adequacy of samples, number of portal tracts obtained, pathologic diagnosis, and complication rate were reviewed.
Results: Technical success was achieved in 98% (42/43) of LLOT procedures. TJLB failed in 1 patient with LLOT, in whom no patent hepatic veins were identified. Technical success was achieved in 100% (44/44) in the OWLT group. Mean (SD) number of needle passes was 4.12 (1.25) in the LLOT group vs 3.95 (1.28) in the OWLT group (P = .54). Mean (SD) specimen length was 1.16 (0.75) cm in the LLOT group vs 1.19 (0.58) cm in the OWLT group (P = .78). Mean (SD) number of portal tracts obtained in the LLOT group was 10.7 (5.26) vs 12.3 (4.68) in the OWLT group (P = .17). No major complications were observed in either group.
Conclusions: TJLB in adult patients with LLOTs appears safe and feasible, with favorable rates of technical success and adequacy of sampling.
(Copyright © 2018 SIR. Published by Elsevier Inc. All rights reserved.)
