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Updated: Jul 8, 2026

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
Published on: June 18, 2020
Transfemoral venous liver biopsy: common problems and complications
P L Munk1, D C Morris, D G Connell
1Department of Radiology, Vancouver General Hospital, University of British Columbia, Canada. plmunk@unixg.ubc.ca
Abstract:
Liver biopsy is still most commonly done via the percutaneous route; however, increasingly, transvascular venous liver biopsy has been used in patients with bleeding disorders. Although the jugular route is now generally favoured, a transfemoral route can be a useful alternative technique when the jugular route is not available. We describe the transfemoral technique and outline a number of commonly encountered problems and complications and suggested methods of addressing them.
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