Routine US assessment of puncture site before performing percutaneous liver biopsy decreases complication rate and increases diagnostic yield

Eugenio Caturelli, Marco Sperandeo, Stefano Carughi, Maria Rosaria Villani, Antonio Varriale, Giuseppe Schiavone

Research output: Contribution to journalArticlepeer-review

Abstract

The usefulness of routine US assessment of puncture site before performing percutaneous biopsy in diffuse liver disease was retrospectively evaluated in 1234 consecutive patients. Serial scanning of the last intercostal spaces allowed us to establish the most suitable access to the thicker liver parenchyma (assessing the most favourable angulation of the needle too), avoiding the puncture of adjacent organs; no more than one minute was necessary for such a determination. In 99.3% of patients a definitive or indicative pathologic diagnosis of chronic liver disease was obtained. Only one hemorrhagic complication (.08%) occurred, requiring no surgical treatment or blood transfusion. Five cases of vasovagal reaction occurred (0.4%): two of these recovered spontaneously, while the other three needed i.v. atropine. Mortality was 0. Routine US assessment of puncture site is a quick method allowing one to increase the diagnostic yield of percutaneous liver biopsy and to maintain low complication rate of such a procedure.

Original languageEnglish
JournalUltrasound in Medicine and Biology
Volume23
Issue numberSuppl 1
Publication statusPublished - 1997

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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