J Korean Radiol Soc.  1998 Feb;38(2):241-247. 10.3348/jkrs.1998.38.2.241.

Transjugular Liver Biopsy: The Efficacy of Quick-Core Biopsy Needle System

• Jung GS
• Ahn BK
• Lee SO
• Chang HK
• Oh KS
• Huh JD
• Joh YD

• KMID: 2103081
• DOI: http://doi.org/10.3348/jkrs.1998.38.2.241

Abstract

PURPOSE: To evaluate the efficacy of the Quick-Core biopsy needle system in performing transjugular liverbiopsy.
MATERIALS AND METHODS
Between December 1995 and June 1997, eight patients underwent transjugular liverbiopsy involving use of the Quick-Core biopsy needle system; the conditions involved were coagulopathy (n=4),thrombocytopenia (n=3), and ascites (n=1). Via the right internal jugular vein, the right hepatic vein wasselectively catheterized with a 7-F transjugular guiding catheter, and a 14-guage stiffening cannula was theninserted through this catheter; to obtain core tissue, a Quick-Core needle was then advanced into the liverparenchyma through the catheter-cannula combination. Eighteen- and 19-guage needles were used in three and fivepatients, respectively; specimen size, adequacy of the biopsy specimen and histologic diagnosis were determined,and complications were recorded.
RESULTS
Biopsy was successful in all patients. The mean length of the specimenwas 1.4 cm (1.0-1.8 cm), and all were adequate for pathologic examinations; specific diagnosis was determined inall patients. There were two malignant neoplasms, two cases of veno-occlusive disease, and one case each ofcirrhosis, fulminant hepatitis, Banti syndrome and Budd-Chiari syndrome. One patient complained of neck pain afterthe procedure, but no serious procedural complications were noted.
CONCLUSION
Our preliminary study shows thatthe Quick-Core biopsy needle system is safe and provides adequate core tissues with high diagnostic yields.

Keyword

Biopsies, technology; Liver, biopsy

MeSH Terms

Ascites
Biopsy*
Budd-Chiari Syndrome
Catheters
Diagnosis
Hepatic Veins
Hepatitis
Humans
Jugular Veins
Liver*
Neck Pain
Needles*