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Transjugular Liver Biopsy in Patients with Liver Transplantation: Comparison of Quick-Core Biopsy and Forceps Biopsy

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Abstract
Purpose To compare the safety and efficacy of transjugular liver biopsy (TJLB) using a Quick-Core biopsy needle or a forceps biopsy in patients with liver transplantation (LT) who were suspected of having rejection. Materials and Methods From June 2015 to January 2017, 98 TJLBs (60 patients) with the Quick-Core biopsy needle and 95 TJLBs (58 patients) with a forceps biopsy system were attempted in patients with LT suspected of having rejection. Technical success, adequacy for diagnosis, number of biopsy instrument passes, the maximum and mean length of the obtained samples, and the complications were retrospectively analyzed. Results TJLB was technically successful in all patients. Adequate specimens were obtained in 95.9% of the biopsy needle group and 91.6% in the forceps group (p = 0.246). The mean number of biopsies was 4.8 +/- 1.8 in the biopsy needle group and 6.2 +/- 1.7 in the forceps group. The mean size of the biopsy sample was 11.1 +/- 3.0 mm in the biopsy needle group and 2.5 +/- 1.2 mm in the forceps group. Only one minor complication (a subcapsular hematoma) occurred in the biopsy needle group. No major complication was observed in any patient. Conclusion TJLB using a Quick-Core biopsy needle or forceps can be safely and effectively performed in LT patients. The adequacy of sampling for diagnosis was equivalent between the groups.
Author(s)
김건하권동일고기영성규보
Issued Date
2021
Type
Article
Keyword
CardiologyClinical InvestigationComparative analysisImagingLiverMedicineMedicine & Public HealthNon-Vascular InterventionsNuclear MedicineRadiologyTransplantationUltrasound
DOI
10.1007/s00270-020-02724-x
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7359
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2475404037&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Transjugular%20Liver%20Biopsy%20in%20Patients%20with%20Liver%20Transplantation:%20Comparison%20of%20Quick-Core%20Biopsy%20and%20Forceps%20Biopsy&offset=0&pcAvailability=true
Publisher
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
Location
미국
Language
영어
ISSN
0174-1551
Citation Volume
44
Citation Number
4
Citation Start Page
574
Citation End Page
579
Appears in Collections:
Medicine > Medicine
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