US-guided Percutaneous Gun Biopsy of the Liver through the Left Lobe :Easy Compression of the Left Lobe for Hemostasis

Purpose: To evaluate the usefulness of US-guided percutaneous gun biopsy through the left lobe of the liver with compression for the diagnosis of diffuse hepatic diseases and prevention of post-biopsy complications. Materials Methods: In 35 patients with climical diffuse hepatic diseases , we performed US-guided percutaneous biopsy via the left lobe of the live r. After biopsy , we immediately applied an extrinsic hands-on compression maneuver at the biopsy site. The integrity of tissue architecture and numbers of portal triad visible in each specimen were histologically examined and post-biopsy complications were documented. Results: A histopathologic diagnosis could made Microscopi , no significant crush erage pain at the biopsy site , no serious post-biopsy complication was noted. Conclusion: US-guided percutaneous gun biopsy through the left lobe of the liver with com pression appears to be an effective and safe procedure for the evaluation of diffuse hepatic diseases.

[1]  K D Hopper,et al.  CT percutaneous biopsy guns: comparison of end-cut and side-notch devices in cadaveric specimens. , 1995, AJR. American journal of roentgenology.

[2]  K. Hopper,et al.  Blinded comparison of biopsy needles and automated devices in vitro: 1. Biopsy of diffuse hepatic disease. , 1993, AJR. American journal of roentgenology.

[3]  A. Zajko,et al.  Bile leakage as a complication of liver biopsy in liver transplants , 1993, Abdominal Radiology.

[4]  V. Vilgrain,et al.  US-guided percutaneous liver biopsy with plugging of the needle track: a prospective study in 72 high-risk patients. , 1992, Radiology.

[5]  G. Gazelle,et al.  Effect of needle gauge, level of anticoagulation, and target organ on bleeding associated with aspiration biopsy. Work in progress. , 1992, Radiology.

[6]  M P Fernandez,et al.  Hepatic biopsies and fluid drainages. , 1991, Radiologic clinics of North America.

[7]  E. Lipchik,et al.  Transvenous liver biopsy in critically ill patients: adequacy of tissue samples. , 1991, Radiology.

[8]  B J Ott,et al.  A 21-year experience with major hemorrhage after percutaneous liver biopsy. , 1990, Gastroenterology.

[9]  G. Gazelle,et al.  Hemostatic protein-polymer sheath: new method to enhance hemostasis at percutaneous biopsy. , 1990, Radiology.

[10]  D. Allison,et al.  Percutaneous liver biopsy and track embolization with steel coils. , 1988, Radiology.

[11]  P. Shimkin,et al.  Transjugular liver biopsy in high-risk patients with hepatic disease. , 1984, Radiology.

[12]  H. Conn.  Intrahepatic hematoma after liver biopsy. , 1974, Gastroenterology.