McAfee et al listed a number of indications for when to perform a transjugular liver biopsy.
(1) significant coagulation disorder (thrombocytopenia with platelet count < 60,000 per µL and/or prothrombin time more than 3 seconds above the upper limit of the normal reference range and/or severe hereditary bleeding disorder)
(2) moderate or severe ascites
(3) other reasons to place an intrahepatic vascular catheter (venous pressure measurement, portography, transjugular intrahepatic portosystemic shunt)
(1) morbid obesity
(2) small, cirrhotic liver
(3) suspected peliosis hepatis or vascular tumor
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Purpose: To determine if a person who needs a liver biopsy should have a transjugular biopsy performed.
Objective: complications, selection, interventional radiology
ICD-10: Y83.6, K74,