Transjugular versus Transfemoral Transcaval Liver Biopsy: A Single-Center Experience in 500 Cases
| Autor: | Jacob Cynamon, R. Peng, Marcy B. Jagust, Norbert Kuc, Y. Golowa, Kapil Wattamwar |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Catheterization Central Venous Time Factors Radiography Biopsy Punctures Single Center Radiography Interventional 030218 nuclear medicine & medical imaging 03 medical and health sciences symbols.namesake 0302 clinical medicine Interquartile range Predictive Value of Tests Catheterization Peripheral medicine Humans Radiology Nuclear Medicine and imaging Fisher's exact test Retrospective Studies medicine.diagnostic_test business.industry Retrospective cohort study Femoral Vein Middle Aged Surgery Liver 030220 oncology & carcinogenesis Predictive value of tests Liver biopsy Fluoroscopy symbols Female Jugular Veins Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of vascular and interventional radiology : JVIR. 31(9) |
| ISSN: | 1535-7732 |
| Popis: | Purpose To compare the safety and efficacy of transfemoral transcaval liver biopsies (TFTC) with that of transjugular liver biopsies (TJLB) at a single tertiary-care institution. Materials and Methods A retrospective review was performed of 500 consecutive transvenous liver biopsies between December 2010 and December 2018. The cases included 286 TFTC patients at a median age of 54 years old (interquartile range [IQR], 42–63 years of age), 37.4% were female; and 214 TJLB patients were a median age of 55 years old (IQR, 46–61 years of age), 45.4% female. Patient demographic and laboratory data and technical and histopathological success, fluoroscopy times, and complications were recorded. Comparative statistical analyses were performed using a 2-sample test or a Wilcoxon ranked sum test for continuous variables and a chi-square test or Fisher exact test for categorical variables when appropriate. Results TFTC and TJLB data are presented as technical success rates of 99.3% (283 of 286) and 100% (214 of 214), respectively; histopathologic success rates of 96.5% (275 of 285) and 95.8% (205 of 214), respectively; and major complication rates of 1.4% (4 of 284) and 5.6% (12 of 214), respectively (P = .009). There were no hepatic injuries in the TFTC group, whereas the TJLB group included 6 significant hepatic injuries requiring intervention. Median fluoroscopic times were 5.5 minutes (IQR, 3.9–8.6 minutes) for TFTC and 8.1 minutes (IQR, 5.2–13.1) for TJLB (P Conclusions In this single-institution study, TFTC was associated with a lower major complication rate and lower fluoroscopy times than conventional TJLB with similar technical and histopathologic successes. |
| Databáze: | OpenAIRE |
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