2018
DOI: 10.1097/mpg.0000000000001951
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Comparison of Transjugular Liver Biopsy and Percutaneous Liver Biopsy With Tract Embolization in Pediatric Patients

Abstract: TJLB and PLB with gelatin sponge pledget tract embolization are both safe and effective for the diagnosis of hepatic disease in pediatric patients. To avoid radiation, PLB may be considered as first-line approach in the pediatric population, even in the setting of coagulopathy.

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Cited by 25 publications
(49 citation statements)
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“…In the present study, the complication rate was particularly low, there having been just one major complication, defined as grade 3 in the Cardiovascular and Interventional Radiological Society of Europe Classification System for Complications, among the more than 1,000 cases evaluated. The low rate of complications, in comparison with that reported in other studies ( 1 , 3 , 11 , 12 ) , might be explained by the fact that we excluded procedures in which there was more than one capsular puncture or more than one tissue specimen was retrieved and included only procedures in which an 18G needle was employed. In addition, the study population was composed of patients considered normal within strict coagulation parameters.…”
Section: Discussionmentioning
confidence: 93%
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“…In the present study, the complication rate was particularly low, there having been just one major complication, defined as grade 3 in the Cardiovascular and Interventional Radiological Society of Europe Classification System for Complications, among the more than 1,000 cases evaluated. The low rate of complications, in comparison with that reported in other studies ( 1 , 3 , 11 , 12 ) , might be explained by the fact that we excluded procedures in which there was more than one capsular puncture or more than one tissue specimen was retrieved and included only procedures in which an 18G needle was employed. In addition, the study population was composed of patients considered normal within strict coagulation parameters.…”
Section: Discussionmentioning
confidence: 93%
“…Despite the recent development of noninvasive methods for liver evaluation, liver biopsy continues to be the classical gold standard and an essential tool in the investigation and histological follow-up of liver diseases ( 6 , 7 , 14 ) . Liver biopsy can be performed through a myriad of different methods, including blind percutaneous and laparoscopic biopsy, as well as biopsy performed under the guidance of imaging modalities, which include fluoroscopy (transjugular liver biopsy), CT, magnetic resonance imaging, and ultrasound ( 10 , 12 , 27 - 31 ) .…”
Section: Discussionmentioning
confidence: 99%
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“…S. Tulin-Silver и соавт. (2018) по результатам обследования 159 детей показа-ли, что доля осложнений после проведения трансъюгу-лярных и пункционных биопсий составляет 2,6 и 3,3% соответственно [62].…”
Section: показания к проведению биопсии печени у детейunclassified