日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
静脈系IVR
経頸静脈的肝生検
塚原 嘉典黒住 昌弘福澤 拓哉雄山 一樹鈴木 健史深松 史聡藤永 康成
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2024 年 39 巻 1 号 p. 16-21

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Transjugular liver biopsy (TJLB) is performed in patients who have difficulty undergoing percutaneous liver biopsy due to ascites or coagulopathy. It has become a standard procedure in the USA and Europe since its development by Dotter et al. in 1964. TJLB is a useful procedure that can be safely performed in patients with coagulopathy with very few complications such as bleeding. However, TJLB is a complicated procedure, and the biopsy specimens tend to be fragmented, so it is not widely performed in Japan. This manuscript outlines the indications, complications, biopsy procedures, and technical points of TJLB.
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