Evidence map›Paper›PMID 38816503›Full record

ArticleCardiovascular and interventional radiology2024

Transfemoral-Transcaval Liver Biopsy (TFTC) and Transjugular Liver Biopsy (TJLB) in Patients with Fontan-Associated Liver Disease (FALD).

Muhammad Usman Shahid, Yosef Frenkel, Norbert Kuc, Yosef Golowa, Jacob Cynamon

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Article in Cardiovascular and interventional radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
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  5. Nontargeted Liver Biopsy in Children.Seminars in interventional radiology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Muhammad Usman ShahidDepartment of Interventional Radiology, University of Miami Miller School of Medicine, 1150 NW 14th Street, Miami, FL, 33136 , USA. Mus11@Med.Miami.Edu.ORCID http://orcid.org/0000-0002-0809-9901
Yosef FrenkelDivision of Vascular and Interventional Radiology, Department of Radiology, Montefiore Medical Center, 111 E 210th St, Bronx, NY, 10467, USA.
Norbert KucDivision of Vascular and Interventional Radiology, Department of Radiology, Montefiore Medical Center, 111 E 210th St, Bronx, NY, 10467, USA.
Yosef GolowaDivision of Vascular and Interventional Radiology, Department of Radiology, Montefiore Medical Center, 111 E 210th St, Bronx, NY, 10467, USA.
Jacob CynamonDivision of Vascular and Interventional Radiology, Department of Radiology, Montefiore Medical Center, 111 E 210th St, Bronx, NY, 10467, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe our experience in performing transfemoral-transcaval liver biopsy (TFTC) and transjugular liver biopsy (TJLB) in patients with Fontan-associated liver disease (FALD).

methodsA single-center, retrospective review of 23 TFTC and seven TJLB performed between August 2011 and May 2023 on patients who previously underwent the Fontan procedure (median age 23.1 years, ranging 11-43 years, 48% female). Patient demographics, laboratory values, pathology, radiology, and cardiology reports were reviewed. Liver explants were correlated with histopathological evaluation to determine sampling accuracy when available.

resultsAll biopsies achieved technical success (accurate targeting and safe tissue sample extraction) and histopathological success (yielding sufficient tissue for accurate diagnosis). Liver biopsies were performed during simultaneous cardiac catheterization in 28 of 30 (93%) procedures. There was no statistically significant change in hemoglobin, hematocrit, platelet count post-procedure, and fluoroscopy times. There was one major complication within the TJLB group and one minor complication within the TFTC group.

conclusionTransvenous liver biopsies, whether via transfemoral or transjugular route, may be safely performed in FALD patients while yielding samples with technical and histopathological success. The transfemoral approach, which is our preferred method; its compatibility with simultaneous cardiac catheterization and its potentially increased safety profile stemming from the avoidance of transversing the Fontan shunt-makes it a particular advantageous option in the management of FALD.

Indexed as

Fontan ProcedureJugular VeinsLiverLiver DiseasesAdolescentAdultBiopsyCardiac CatheterizationChildFemaleFemoral ArteryHumansMaleRetrospective StudiesYoung AdultBiopsyFALDFontanLiver biopsyTransfemoral Liver BiopsyTransjugular Liver Biopsy

Identifiers

PMID38816503
PMCPMC11239768

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