Complications of Transjugular Biopsies

Abstract

Transvenous biopsy was first performed in 1964 by Charles Dotter. Now routinely performed in the liver and kidney by interventional radiologists, the transjugular approach to biopsy has assumed a central role in coagulopathic patients. Major arterial complications from transjugular liver and renal biopsy are rare. In this article, the authors describe such complications in both organs that necessitated selective endovascular coil embolization.

Keywords

interventional radiology - complications - transjugular liver biopsy - kidney biopsy - embolization

• References

• 1 Dotter CT. Catheter biopsy. Experimental technique for transvenous liver biopsy. Radiology 1964; 82: 312-314
• 2 Misra S, Gyamlani G, Swaminathan S , et al. Safety and diagnostic yield of transjugular renal biopsy. J Vasc Interv Radiol 2008; 19 (4) 546-551
• 3 Abbott KC, Musio FM, Chung EM, Lomis NN, Lane JD, Yuan CM. Transjugular renal biopsy in high-risk patients: an American case series. BMC Nephrol 2002; 3: 5
• 4 Meyrier A. Transjugular renal biopsy. Update on hepato-renal needlework. Nephrol Dial Transplant 2005; 20 (7) 1299-1302
• 5 Sarabu N, Maddukuri G, Munikrishnappa D , et al. Safety and efficacy of transjugular renal biopsy performed by interventional nephrologists. Semin Dial 2011; 24 (3) 343-348
• 6 Cluzel P, Martinez F, Bellin MF , et al. Transjugular versus percutaneous renal biopsy for the diagnosis of parenchymal disease: comparison of sampling effectiveness and complications. Radiology 2000; 215 (3) 689-693
• 7 Levi IM, Ben-Dov IZ, Klimov A, Pizov G, Bloom AI. Transjugular kidney biopsy: enabling safe tissue diagnosis in high risk patients. Isr Med Assoc J 2011; 13 (7) 425-427
• 8 Fine DM, Arepally A, Hofmann LV, Mankowitz SG, Atta MG. Diagnostic utility and safety of transjugular kidney biopsy in the obese patient. Nephrol Dial Transplant 2004; 19 (7) 1798-1802
• 9 Sofocleous CT, Bahramipour P, Mele C, Hinrichs CR, Barone A, Abujudeh H. Transvenous transjugular renal core biopsy with a redesigned biopsy set including a blunt-tipped needle. Cardiovasc Intervent Radiol 2002; 25 (2) 155-157
• 10 See TC, Thompson BC, Howie AJ , et al. Transjugular renal biopsy: our experience and technical considerations. Cardiovasc Intervent Radiol 2008; 31 (5) 906-918
• 11 Schwarz A, Hiss M, Gwinner W, Becker T, Haller H, Keberle M. Course and relevance of arteriovenous fistulas after renal transplant biopsies. Am J Transplant 2008; 8 (4) 826-831
• 12 Schmid A, Jacobi J, Kuefner MA , et al. Transvenous renal transplant biopsy via a transfemoral approach. Am J Transplant 2013; 13 (5) 1262-1271
• 13 Kalambokis G, Manousou P, Vibhakorn S , et al. Transjugular liver biopsy—indications, adequacy, quality of specimens, and complications—a systematic review. J Hepatol 2007; 47 (2) 284-294
• 14 Choh J, Dolmatch B, Safadi R , et al. Transjugular core liver biopsy with a 19-gauge spring-loaded cutting needle. Cardiovasc Intervent Radiol 1998; 21 (1) 88-90
• 15 Papatheodoridis GV, Patch D, Watkinson A, Tibballs J, Burroughs AK. Transjugular liver biopsy in the 1990s: a 2-year audit. Aliment Pharmacol Ther 1999; 13 (5) 603-608
• 16 Soyer P, Fargeaudou Y, Boudiaf M, Rymer R. Transjugular liver biopsy using ultrasonographic guidance for jugular vein puncture and an automated device for hepatic tissue sampling: a retrospective analysis of 200 consecutive cases. Abdom Imaging 2008; 33 (6) 627-632
• 17 Funaki B. Hemorrhage after transjugular liver biopsy requiring embolization. Semin Intervent Radiol 2009; 26 (4) 358-360
• 18 Allison RP, Belli AM, Chun J-Y , et al. Hemorrhage after transjugular liver biopsy. In: Ratnam L, Patel U, Belli AM, , eds. Managing Common Interventional Radiology Complications. London: Springer; 2014: 251-257
• 19 Axelrod DJ, Freeman H, Pukin L, Guller J, Mitty HA. Guide wire perforation leading to fatal perirenal hemorrhage from transcortical collaterals after renal artery stent placement. J Vasc Interv Radiol 2004; 15 (9) 985-987