Related Experiment Video
Updated: Apr 23, 2026
Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
Published on: June 18, 2020
Trans-caval trans-jugular liver biopsy--a technical modification of trans-jugular liver biopsy
V Moses1, S N Keshava, S Mammen
11 Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India.
Objective:
To (a) describe the technical modification of trans-caval TJLB and (b) review our series of nine cases.
Methods:
We performed a retrospective review of all trans-caval TJLBs performed; we assessed indications for the procedure, technical success, complications, adequacy of specimen and histological positivity.
Results:
The technical success rate of the procedure was 9/9 (100%); the minor complication rate was 1/9 (11%), adequate specimen was obtained in all cases and a histological diagnosis was achieved in 8/9 (89%) cases.
Conclusion:
This preliminary report suggests that trans-caval modification of TJLB is a relatively safe procedure that may be useful in cases where conventional TJLB is infeasible.
Advances In Knowledge:
(a) We describe the technique of trans-caval TJLBs and report our findings in the largest series of published cases. (b) Trans-caval TJLB is relatively safe and can be used to increase the success rates of conventional TJLB.
