What equipment is needed to perform percutaneous liver biopsy?

Updated: Nov 21, 2019
  • Author: Gaurav Arora, MD, MS; Chief Editor: Kurt E Roberts, MD  more...
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Answer

Sterile gloves are required.

A liver biopsy tray should be available that contains the following items (see the image below):

  • Core biopsy needle, preferably 16 gauge, 11.5 cm
  • Povidone-iodine solution
  • Formalin bottle (specimen container)
  • Injection needle, 21 gauge, 3.75 cm
  • Injection needle, 25 gauge, 2.5 cm
  • Sterile drape(s)
  • Saline solution (0.9%), 10-mL ampule
  • Surgical scalpel blade
  • Gauze pads, 7.5 × 7.5 cm
Liver biopsy tray. Liver biopsy tray.

Appropriate vials should be available for cultures and special stains, if indicated.

A study comparing the adequacy rates of the BioPince (Argon Medical, Frisco, TX; n = 53) 16-gauge and Achieve (Becton Dickinson, Franklin Lakes, NJ; n = 141) 18-gauge biopsy needles for percutaneous liver biopsy in patients with parenchymal liver disease found that the BioPince needle acquired a significantly greater total core length and a great number of portal tracts, with significantly improved adequacy rates and no major complications. [12]


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