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European Radiology

, Volume 17, Issue 1, pp 169–173 | Cite as

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

  • P. ChevallierEmail author
  • F. Dausse
  • F. Berthier
  • M. C. Saint-Paul
  • A. Denys
  • P. Schnyder
  • J. N. Bruneton
Vascular-Interventional

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.

Keywords

Liver biopsy Liver, interventional procedures Transjugular liver biopsy Biopsy technology 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • P. Chevallier
    • 1
    Email author
  • F. Dausse
    • 1
  • F. Berthier
    • 2
  • M. C. Saint-Paul
    • 3
  • A. Denys
    • 4
  • P. Schnyder
    • 4
  • J. N. Bruneton
    • 1
  1. 1.Department of Diagnostic and Interventional RadiologyHôpital ArchetNiceFrance
  2. 2.Department of BiostatisticsHôpital CimiezNiceFrance
  3. 3.Department of PathologyHôpital ArchetNiceFrance
  4. 4.Department of Diagnostic and Interventional RadiologyCHUVLausanneSwitzerland

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