Punción biopsia hepática percutánea en pacientes con trastornos de hemostasia. Nueva técnica. / [Percutaneous hepatic biopsy puncture in patients with hemostasis disorders. A new technique]

ABSTRACT

In order to avoid the inconveniences of the trans-jugular liver biopsy, a modified percutaneous liver biopsy with embolization has been performed in 27 patients with chronic hepatic diseases with or without hemostatic disorders. By means of a sheath and a Menghini or Tru Cut needle type, an embolization of the needle tract was carried out utilising coagulations factors (I, IIa and XIII). All procedures were laparoscopically visualised and the [quot ]Hepatic bleeding time[quot ] measured. With or without embolization, the [quot ]Hepatic bleeding time[quot ] found was 0-6 seconds and 2-6 minutes, respectively. This modified technic is a safe and effective method for high risk bleeding patients and no hemorrhagic complications postprocedure observed.