Transfemoral Liver Biopsy Using a Quick-Core Biopsy Needle System in Living Donor Liver Transplantation Recipients

doi:10.1002/lt.23928

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	Transfemoral Liver Biopsy Using a Quick-Core Biopsy Needle System in Living Donor Liver Transplantation Recipients
	Li, FQ; Ko, GY; Sung, KB; Gwon, DI; Ko, HK; Kim, JW; Yu, E; Ko, GY (reprint author), Univ Ulsan, Coll Med, Dept Radiol, 88 Olymp Ro 43 Gil, Seoul 138736, South Korea.
刊名	LIVER TRANSPLANTATION
	2014-10
卷号	20 期号:10 页码:1178-1184
ISSN号	1527-6465
DOI	10.1002/lt.23928
文献子类	Article
英文摘要	The purpose of this study was to evaluate the efficacy and safety of transfemoral liver biopsy with a Quick-Core biopsy needle in select living donor liver transplantation (LDLT) recipients. Eight LDLT recipients underwent 9 transfemoral liver biopsy sessions. Six patients had undergone modified right lobe (mRL) LDLT, and 2 patients had undergone dual-left lobe LDLT. The indications for transfemoral liver biopsy were a hepatic vein (HV) at an acute angle to the inferior vena cava (IVC) on the coronal plane and a thin (<10-mm) liver parenchyma surrounding the HV to be biopsied on enhanced computed tomography. Under fluoroscopic guidance, the right inferior HV in the mRL or the left HV in the right-sided left lobe with a cranial orientation was negotiated with a 5-Fr catheter via the common femoral vein. Then, a stiffening cannula was introduced into the HV over a stiff guide wire. Needle passage was then performed with an 18- or 19-gauge Quick-Core biopsy needle. Technical success was achieved in all sessions without major complications. The median number of needle passages was 4 (range = 2-6). The median total length of obtained liver specimens in each session was 44 mm (range = 24-75 mm). The median number of portal tracts was 18 (range = 10-29), and the obtained liver specimens were adequate for histological diagnosis in all sessions. In conclusion, transfemoral liver biopsy with a Quick-Core biopsy needle is an effective and safe alternative for obtaining a liver specimen when standard transjugular liver biopsy is not feasible because of an unfavorable HV angle with respect to the IVC and/or a thin liver parenchyma surrounding the HV. (C) 2014 AASLD.
学科主题	Gastroenterology & Hepatology ; Surgery ; Transplantation
出版地	HOBOKEN
语种	英语
WOS记录号	WOS:000343012000005
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/125856]
专题	第一临床医学院_期刊论文
通讯作者	Ko, GY (reprint author), Univ Ulsan, Coll Med, Dept Radiol, 88 Olymp Ro 43 Gil, Seoul 138736, South Korea.
推荐引用方式 GB/T 7714	Li, FQ,Ko, GY,Sung, KB,et al. Transfemoral Liver Biopsy Using a Quick-Core Biopsy Needle System in Living Donor Liver Transplantation Recipients[J]. LIVER TRANSPLANTATION,2014,20(10):1178-1184.
APA	Li, FQ.,Ko, GY.,Sung, KB.,Gwon, DI.,Ko, HK.,...&Ko, GY .(2014).Transfemoral Liver Biopsy Using a Quick-Core Biopsy Needle System in Living Donor Liver Transplantation Recipients.LIVER TRANSPLANTATION,20(10),1178-1184.
MLA	Li, FQ,et al."Transfemoral Liver Biopsy Using a Quick-Core Biopsy Needle System in Living Donor Liver Transplantation Recipients".LIVER TRANSPLANTATION 20.10(2014):1178-1184.