Hemorrhage after Transjugular Liver Biopsy Requiring Embolization

Transjugular liver biopsy was first described by Dotter in 1964[1] and usually performed when direct percutaneous biopsy is contraindicated due to coagulopathy or perihepatic ascites. Arterial bleeding after biopsy requiring embolization is rare.

REFERENCES

• 1 Dotter C T. Catheter biopsy. Experimental technique for transvenous liver biopsy.  Radiol. 1964;  82 312-314
• 2 Kalambokis G, Manousou P, Vibhakorn S et al.. Transjugular liver biopsy—indications, adequacy, quality of specimens, and complications—a systematic review.  J Hepatol. 2007;  47 284-294
• 3 Lynskey G E, Levy E B, Banovac F. Two cases of major hemorrhage secondary to transjugular liver biopsy.  Semin Intervent Radiol. 2007;  24 320-323

SUGGESTED READING

• 4 Mammen T, Keshava S N, Eapen C E et al.. Transjugular liver biopsy: a retrospective analysis of 601 cases.  J Vasc Interv Radiol. 2008;  19 351-358