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Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
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JoVE Journal Medicina
Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy

DOI:
10.3791/58819-v

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07:10 min

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June 18, 2020

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, , , ,
1Division of Gastroenterology & Hepatology, Department of Internal Medicine III,Medical University of Vienna, 2Vienna Hepatic Hemodynamic Lab,Medical University of Vienna, 3Department of Internal Medicine and Gastroenterology (IMuG),Klinikum Klagenfurt am Woerthersee

Capítulos

  • 00:05Introduction
  • 01:04Hepatic Vein Balloon Catheter Placement
  • 02:59Hepatic Venous Pressure Gradient (HVPG) Hemodynamic Reading Assessment
  • 03:53Transjugular Core Liver Biopsy
  • 05:32Results: Representative Pressure Tracing of Free and Wedged Hepatic Pressure Readings
  • 06:14Conclusion

Summary

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Here, we present a protocol for measurement of hepatic venous pressure gradient (HVPG),the gold standard to diagnose clinically significant portal hypertension. Moreover, we describe how to perform a transjugular liver biopsy within the same session.

Tags

Portal HypertensionHepatic Venous Pressure GradientHVPGTransjugular Liver BiopsyChronic Liver DiseaseCirrhosisVascular AccessInferior Vena CavaHepatic VeinBalloon CatheterFluoroscopyContrast Dye

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