Just checking about transjugular biopsy - British Liver Trust

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Just checking about transjugular biopsy

jojokarak profile image
23 Replies

Hello you lot 😊

I having a biopsy again in a fortnight bleurgh... If my memory serves me right with the transjugular one they go through your heart? My consultant is telling me they don't and I don't trust him 😂😂

I have just read info on the net and they are saying in the vein on right hand side and may go through the heart, I need to know to decide if I going ahead because I know it freaked me out the last time but I know they went through heart because they were tweaking my stent at same time.... So is it a normal thing

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jojokarak
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23 Replies
Kate50 profile image
Kate50

Morning Jojo, I don’t know about transjugular biopsy as I have only had the abdomen ones, sorry you have to go through this again but I’m sure you will cope admirably as usual, and I would say trust your consultant, you’ve got to really for peace of mind, take care my friend I will be thinking of you 😘😘

jojokarak profile image
jojokarak in reply to Kate50

Morning 😊 oh I really don't trust him haha he has lied to me before because he knows how stubborn I am on some things... I just need to know so I can calm myself down before I go lol 😂

Hope your OK my dear 😘

TT-2018 profile image
TT-2018

Mine went through the jugular vein (?), in the right of my neck. It was under a local, I am sure that they avoided my heart. I can think of better ways of passing a day, but I got through it. A break from the ward.

jojokarak profile image
jojokarak in reply to TT-2018

Lol I would rather stick pins in my feet 🤣🤣 but thanks eased my mind I would refuse if they were going through my heart again its bloody awful

TT-2018 profile image
TT-2018 in reply to jojokarak

If you can reach your feet, you are doing well 😄.

jojokarak profile image
jojokarak in reply to TT-2018

🤣🤣🤣🤣

davianne profile image
davianne in reply to jojokarak

Jojo, I would rather stick pins in my feet, as they are always numb (peripheral neuropathy) 😢 better that than Count Dracula🤣🤣

David

Popel profile image
Popel

Omg. Trans what?sounds scary.sorry.but then again didn’t we have something similar having a Tp a tube down a neck vein to monitor your heart.shit if you can go through a TP anything else will be a breeze jojo.paul

jojokarak profile image
jojokarak in reply to Popel

Haha I knocked out for the transplant 🤣🤣 after having it through my heart a few years ago I said never again and I am a stubborn bitch... It's one of those memories and experiences I can't let go off but been reassured by a couple of people now it's not through heart just for biopsy x

Popel profile image
Popel in reply to jojokarak

I know it’s so funny people are always saying to me how brave i was.especially my kids.but they don’t know the half of it. It was a case of have a TP or die.and I was more scared of dying a horrible death than being knocked out and not knowing a thing about it.paul

jojokarak profile image
jojokarak in reply to Popel

Definitely 😊 and it's such a rush you haven't got much time to think too much about it x

TT-2018 profile image
TT-2018 in reply to Popel

I mean, it’s not exactly optional!

AyrshireK profile image
AyrshireK

Were you aware of it going through your heart JoJo? My hubby has had a transjugular biopsy and only feel the tugging sensation in his neck when samples were obtained.

Reading this piece about the surgical protocol it would intimate that the biopsy procedure does involve passing through the right atria sciencedirect.com/science/a... My hubby certainly wasn't aware of this.

Katie

jojokarak profile image
jojokarak in reply to AyrshireK

I was hunni I got fluttering feelings and I started panicking and the staff were great at calming me down but I always said never again lol and they went in my left side years ago but as I said they were sorting the stent out same time as getting a biopsy x

AmericanDemocrat profile image
AmericanDemocrat

Hi, Jojo -

I do not know if all transjugular biopsies are the same, but mine indeed did go through the right atria, as Katie stated above. I know this for certain because I was awake during the procedure and actually heard the surgeon saying “entering the right atrium.” I did not know this ahead of time and I recall feeling so surprised when I heard those words - but at the same time, they had given me Verced to relax, so nothing really bothered me. They also gave me strong pain medication if I indicated even a teeny bit of discomfort. I hope you will not be dissuaded from getting the procedure despite this information. Although it seems like a gruesome and risky method, I felt zero pain and was completely unaware of where the biopsy needle might be at any one time. I felt absolutely nothing internally. As mentioned by Katie, I sometimes felt a slight tug on my neck, but that amounted to the feeling of someone firmly touching my neck. It was not painful or uncomfortable. And again, I never felt anything internally, zero sensations. I also felt absolutely nothing when they took the actual biopsy samples.

There are so many benefits to a transjugular biopsy ... one being that it is the only way to learn your exact portal vein hypertension level, which is so important for an accurate diagnosis. All in all, I would say getting through the procedure is much more of a psychological hurdle than a physical one. You must simply focus on something other than what is happening, use mindfulness, go to your happy place, etc. You seem to be an extraordinarily strong person and I think your great sense of humor and resilience will enable you to get through this if you do go ahead. Please let me know if I can help in any other way. Wishing you all the best. xx

jojokarak profile image
jojokarak in reply to AmericanDemocrat

Ahhh thanks so much for the detail it's all I need sometimes to help me calm down I love to know the ins and outs of everything lol and as I just said to Katie last time I had they went in left hand side of neck as they were sorting my stent out at the same time and I think that's why I experienced so much fluttering sensation to the point it took my breath away so as long as it's not the same side I know it won't be anywhere near as daunting x

AmericanDemocrat profile image
AmericanDemocrat

Kudos to you for your bravery and flexible thinking! Good work. As a small aside, I told a good friend just before the procedure: “I can’t do this.“ She looked at me very strongly and firmly but with love, and said with great authority, “You can and you will!“ Her tone was perfection, and I thought to myself “Well, OK then! I guess I can! Let’s do this!” So, I will say the same thing to you, strong lady… “You can and you will!” LOL. 🤣

Bootandall profile image
Bootandall

Hi jojo, you and me are opposites, the less I know about something, the better, ignorance is bliss. I read on here some of the procedures I've had, anxiety over an MRI for example, and I never even thought of it, I just say to myself, what's for dinner later or thinking A LOT about the secret lives of the people working on me, I make up stories in my head about them (based on things they say, I'm not completely loony) to amuse myself. Try not to worry 😉 sounds to me like you've been through a lot worse. Here's hoping you're feeling so much better soon!

Smyally profile image
Smyally

Hi jojo. I echo what others have said about it going through the heart. I haven’t had one done but my close friend has and she felt a slight fluttery feeling. Like you I like to know as much as possible so I feel more in control. I wish you luck and hope it goes ok for you xx

Wass71 profile image
Wass71

Hi jojo, is it better to have it transjugular? I had mine between the ribs and had no pain or anything. Do you have a preference or choice or is that down to the Dr? Or do they need to assess other things at the same time? Sometimes however well we've coped with things in the past we all can have wobbles and fears. I too prefer information, and find things so much better if I know what to expect. I agree with others, you've been through so much and managed amazingly. It's another step up that mountain you've been climbing all this time, look down and see how far you've come.

Best of luck, will keep things crossed for you.

Hi JoJo

I agree with everyone YOU CAN DO IT!!! Love and hugs Lynne xxxx

Porphyriamaniac profile image
Porphyriamaniac

Dear me, jojo, I can understand why you'd be worried, id no idea it goes through there, it must be routine and pretty safe though? I can't add anything as I've never had one, but wish you lots of luck and if anyone can do it, you can, you're an absolute warrior in my eyes💪💪💪 xxxx

Yellowsydney profile image
Yellowsydney

Hi, I had a trans jugular biopsy as it is less likely to cause bleeding. They go in through the jugular vein in your neck on the right side, no where near your heart. I'm a wimp but had it done with no sedation. Have to lay still and behave! No pain. The worst part was the doctor was reading a text book as he was doing it and didn't have all the equipment handy, but they have to learn, haha. Was very cold afterwards and hah bed rest for 12 hours. Good luck you'll be fine

Hilary 💚💚

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