Transjugular Liver Biopsy

Liver tissue sampling via transjugular route, often combined with HVPG measurement.

Biopsies

Synonyms : transjugular hepatic biopsy, transvenous liver biopsy

Preferred over percutaneous biopsy in coagulopathy, significant ascites, or when simultaneous HVPG is desired.

Catheter via jugular vein to hepatic vein. Biopsy needle passed through catheter. Duration: 30-45 minutes.

Transient pain, capsule perforation (rare), arrhythmia, sampling failure.

A few hours to one night. Histology results in 1-2 weeks.

Local anesthesia. Outpatient procedure (return home the same day).