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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

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Abstract

In cases of transjugular liver biopsies, the venous angle formed between the chosen hepatic vein and the vena cava main axis in a frontal plane can be large, leading to technical difficulties. In a prospective study including 139 consecutive patients who underwent transjugular liver biopsy using the Quick-Core biopsy set, the mean venous angle was equal to 49.6°. For 21.1% of the patients, two attempts at hepatic venous catheterization failed because the venous angle was too large, with a mean of 69.7°. In all of these patients, manual reshaping of the distal curvature of the stiffening metallic cannula, by forming a new mean angle equal to 48°, allowed successful completion of the procedure in less than 10 min.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Hôpital Archet, 151 route de Saint Antoine de Ginestière, 06202, Nice, France

    P. Chevallier, F. Dausse & J. N. Bruneton

  2. Department of Biostatistics, Hôpital Cimiez, Nice, France

    F. Berthier

  3. Department of Pathology, Hôpital Archet, 151 route de Saint Antoine de Ginestière, 06202, Nice, France

    M. C. Saint-Paul

  4. Department of Diagnostic and Interventional Radiology, CHUV, 1011, Lausanne, Switzerland

    A. Denys & P. Schnyder

Authors
  1. P. Chevallier
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  2. F. Dausse
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  3. F. Berthier
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  4. M. C. Saint-Paul
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  5. A. Denys
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  6. P. Schnyder
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  7. J. N. Bruneton
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Correspondence to P. Chevallier.

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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 17, 169–173 (2007). https://doi.org/10.1007/s00330-006-0256-8

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  • DOI: https://doi.org/10.1007/s00330-006-0256-8

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