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- W2073606625 abstract "PERCUTANEOUS liver biopsy has evolved into a common and effective procedure. Two large published surveys have established a complication rate of less than 1%, with fatal complications comprising roughly one-tenth of this number ( 1 Chuah SY Moody GA Wicks AC Mayberry JF A nationwide survey of liver biopsy: is there a need to increase resources, manpower and training?. Hepatogastroenterology. 1994; 41: 4-8 PubMed Google Scholar , 2 Froelich F Lamy O Fried M Gonvers JJ Practice and complications of liver biopsy: results of a nationwide survey in Switzerland. Dig Dis Sci. 1993; 38: 1480-1484 Crossref PubMed Scopus (140) Google Scholar ). Complications include bleeding, sepsis, bile leak, bile obstruction, and hemobilia. Patients with coagulopathy or ascites are believed to represent a higher risk for complication after biopsy ( 3 Colapinto RF Transjugular biopsy of the liver. Clin Gastroenterol. 1985; 14: 451-467 PubMed Google Scholar , 4 Corr P Beningfield SJ Davey N Transjugular liver biopsy: a review of 200 biopsies. Clin Radiol. 1992; 45: 238-239 Abstract Full Text PDF PubMed Scopus (50) Google Scholar , 5 Tobkes AI Nord HJ Liver biopsy: review of methodology and complications. Digest Dis. 1995; 13: 267-274 PubMed Google Scholar ). Recent articles reinforce the concept that patients with an absence of functional platelets have increased risk for complication ( 6 Gazelle GS Haaga JR Rowland DY Bleeding due to needle biopsy: effect of venopirin in an animal model and implications for humans. JVIR. 1993; 4: 305-310 Abstract Full Text PDF Scopus (6) Google Scholar , 7 Sharma P McDonald GB Banaji M The risk of bleeding after percutaneous liver biopsy: relation to platelet count. J Clin Gastroenterol. 1982; 4: 451-453 Crossref PubMed Scopus (89) Google Scholar ), although not everyone agrees that ascites increases risk ( 8 Murphy FB Barefield KP Steinberg HV Bernardino ME CT-or sonography-guided biopsy of the liver in the presence of ascites: frequency of complications. AJR. 1988; 151: 485-486 Crossref PubMed Scopus (51) Google Scholar , 9 Little AF Ferris JV Dodd GR Baron RL Image-guided percutaneous hepatic biopsy: effect of ascites on the complication rate. Radiology. 1996; 199: 79-83 Crossref PubMed Scopus (67) Google Scholar ). Transvenous liver biopsy and, more recently, percutaneous liver biopsy with tract plugging ( 10 Chuang VP Alspaugh JP Sheath needle for liver biopsy in high-risk patients. Radiology. 1988; 166: 261-262 PubMed Google Scholar ) have been described as alternatives in these patients, although each has it own limitations. Additionally, smaller gauge needles may produce fewer complications in high-risk patients, but larger bore needles deliver larger, more preserved, and often more diagnostic samples. We describe a new biopsy technique combining transvenous liver biopsy and ultrasound that allows 18-gauge core sampling of focal hepatic masses, with a high level of safety in a select group of high-risk patients." @default.
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- W2073606625 date "2000-03-01" @default.
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- W2073606625 title "Transabdominal Ultrasound Guidance for Transvenous Biopsy of Focal Hepatic Masses" @default.
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- W2073606625 doi "https://doi.org/10.1016/s1051-0443(07)61431-6" @default.
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