04:12 PM Abstract No. 81 Comparing transfemoral transcaval and transjugular transvenous core-needle liver biopsies in patients with Fontan-associated liver disease

The Fontan procedure enables prolonged survival of patients with single-ventricle physiology. As these patients progress to adulthood, Fontan-associated liver disease (FALD) is becoming more prominent. Liver biopsy remains the standard for diagnosis of FALD. Transabdominal liver biopsy carries risk for bleeding in these patients with congestive hepatopathy and limited cardiac reserve. Transjugular liver biopsy (TJLB) may be difficult due to complex Fontan venous anatomy. In addition, as FALD may have heterogenous involvement of the liver, tissue samples adjacent to the hepatic veins where congestion can be pronounced may not be representative of global liver disease.

Source: Journal of Vascular and Interventional Radiology : JVIR - February 23, 2019 Category: Radiology Authors: N. Kuc, J. Gans, P. Agarwal, R. Pass, N. Sutton, N. Ovchinsky, M. Jagust, J. Cynamon, Y. Golowa Tags: Scientific Session 8: Hepatic Traffic (Portal Hypertension and Flow) Source Type: research