Transjugular liver biopsy in pediatric patients with left split liver transplantation and severe coagulation impairment

Pediatr Transplant. 2012 Feb;16(1):58-62. doi: 10.1111/j.1399-3046.2011.01605.x. Epub 2011 Nov 15.

Abstract

The aim of this study is to report our experience in TJLB performed in pediatric patients who underwent partial LT using a left lateral segments graft. Eight consecutive TJLBs were performed in six patients with contraindication to percutaneous biopsy owing to severe coagulation impairment and ascites. All procedures were performed using an 18-gauge automated core needle biopsy. Median age of the patients was 44 months (range, 11-198). Median patients' weight was 13 kg (range, 8-45). Technical success was achieved in all cases without complications. The specimens were adequate for the diagnosis in all cases.

MeSH terms

  • Adolescent
  • Ascites / pathology
  • Automation
  • Biopsy / methods*
  • Biopsy, Needle
  • Blood Coagulation
  • Blood Coagulation Disorders / complications
  • Blood Coagulation Disorders / therapy*
  • Child
  • Child, Preschool
  • Graft Rejection
  • Humans
  • Infant
  • Jugular Veins / pathology
  • Liver / pathology
  • Liver Diseases / complications
  • Liver Diseases / therapy*
  • Liver Failure / therapy
  • Liver Transplantation / methods*
  • Radiology, Interventional / methods
  • Retrospective Studies
  • Treatment Outcome