Abstract:
AIM:To study the safety, effectiveness and diagnostic value of transvenous forceps biopsy of the liver in 54 patients with coagulopathy, gross ascites or morbid obesity and suspected liver disease in whom percutaneous liver biopsy was contraindicated. MATERIAL AND METHODS:Forceps biopsy of the liver via the femoral vein was attempted in 54 adult patients with advanced liver disease of unknown aetiology who had coagulation disorders (41 cases), gross ascites (11 cases) or morbid obesity (two cases). In each patient two to six biopsies (average four) were taken using a radial jaw forceps inserted via the right or left femoral vein. RESULTS:The procedure was successful in 53 cases. Hepatic vein catheterization failed in one patient. Adequate liver tissue for diagnosis was obtained in 84% of cases. One patient developed delayed haemorrhage at 12 h from a capsular leak that was undetected during the biopsy procedure. This patient required blood transfusions and laparotomy to control bleeding. There were no deaths in the 53 patients studied. Transient minor chest and shoulder pain was encountered during sheath insertion into a hepatic vein in 23 patients. Three patients developed a femoral vein haematoma, which resolved with conservative treatment. CONCLUSION:Transvenous liver biopsy via the femoral vein is another safe, effective, simple alternative technique of biopsy when the percutaneous route is contraindicated.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Khosa F,McNulty JG,Hickey N,O'Brien P,Tobin A,Noonan N,Ryan B,Keeling PW,Kelleher DP,McDonald GSdoi
10.1016/s0009-9260(02)00576-7subject
Has Abstractpub_date
2003-06-01 00:00:00pages
487-91issue
6eissn
0009-9260issn
1365-229Xpii
S0009926002005767journal_volume
58pub_type
杂志文章abstract:AIM:To assess the morphology and colour Doppler parameters in patients with polycystic ovarian syndrome (PCOS) and also to assess the changes in Doppler parameters in follow-up patients, who underwent treatment. MATERIALS AND METHODS:The study was conducted on 50 women of reproductive age who had clinical and biochemi...
journal_title:Clinical radiology
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更新日期:2020-10-01 00:00:00
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journal_title:Clinical radiology
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
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doi:10.1016/j.crad.2004.11.014
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81001-3
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journal_title:Clinical radiology
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doi:10.1053/crad.2001.0836
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doi:10.1016/j.crad.2011.10.032
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doi:10.1016/s0009-9260(05)81130-4
更新日期:1993-04-01 00:00:00
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0009-9260(76)80134-1
更新日期:1976-04-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
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更新日期:1998-11-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1053/crad.2000.0579
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journal_title:Clinical radiology
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81665-4
更新日期:1990-04-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
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更新日期:2020-10-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80683-x
更新日期:1992-12-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.08.012
更新日期:2012-02-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.1999.0442
更新日期:2000-02-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2014.01.005
更新日期:2014-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80197-x
更新日期:1979-09-01 00:00:00
abstract::A wide range of pathologies may arise from the submandibular space (SMS) or submandibular gland (SMG) in children. We review herein the normal anatomy of the SMS and describe the role of imaging in the evaluation of SMS lesions. A schematic approach for the categorisation of SMS pathology based on imaging characterist...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2015.03.003
更新日期:2015-07-01 00:00:00