Interventional radiology and open surgery: An effective partnership for solid organ trauma

Leung-Tack, Mirana; Ong, Evelyn; McGuirk, Simon

doi:10.1016/j.jpedsurg.2021.10.037

Cited by 3 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, especially in post-depacking bleeding, the surgical approach may consist of major hepatic resection and portal vein ligation if the interventional approach did not work [26,32,[110][111][112][113][114].…”

Section: Discussionmentioning

confidence: 99%

“…The scale includes six grades representing the severity of injury: grade I subcapsular hematoma (<10% of surface area and >1 cm of depth); grade II (10-50% of surface area, intrahepatic hematoma of 10 cm of axial maximum diameter, 1-3 cm depth); grade III (>50% of surface area, >10 cm axial maximum diameter, >3 cm of depth), grade IV (25-75% lobe disruption, active bleeding), and grade V (>75% lobe disruption, cava, and suprahepatic vein rupture; grade VI liver avulsion) [5,[29][30][31]. The AAST grading system is also the grading score chosen for the pediatric population [32][33][34]. International guidelines have evaluated the therapeutic approach for each grade, even if the decision-making process remains strictly related to hemodynamic stability and the availability of vascular radiologists [35][36][37].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma

Brunese,

Avella,

Cappuccio

et al. 2024

JPM

View full text Add to dashboard Cite

Background: Acute liver injury occurs most frequently due to trauma, but it can also occur because of sepsis or drug-induced injury. This review aims to analyze artificial intelligence (AI)’s ability to detect and quantify liver injured areas in adults and pediatric patients. Methods: A literature analysis was performed on the PubMed Dataset. We selected original articles published from 2018 to 2023 and cohorts with ≥10 adults or pediatric patients. Results: Six studies counting 564 patients were collected, including 170 (30%) children and 394 adults. Four (66%) articles reported AI application after liver trauma, one (17%) after sepsis, and one (17%) due to chemotherapy. In five (83%) studies, Computed Tomography was performed, while in one (17%), FAST-UltraSound was performed. The studies reported a high diagnostic performance; in particular, three studies reported a specificity rate > 80%. Conclusions: Radiomics models seem reliable and applicable to clinical practice in patients affected by acute liver injury. Further studies are required to achieve larger validation cohorts.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma

Brunese,

Avella,

Cappuccio

et al. 2024

JPM

View full text Add to dashboard Cite

show abstract

“…The management of pediatric kidney injuries aligns more closely with adult management, with AE being used more selectively in both populations [ 18 , 19 ]. In all three organs, however, AE should be considered in pediatric patients with ongoing or delayed bleeding and no other indication for surgery as an adjunct to NOM rather than operative intervention [ 15 , 17 , 18 , 19 , 117 ].…”

Section: Role Of Angiography/angioembolizationmentioning

confidence: 99%

Management of Pediatric Solid Organ Injuries

Lyttle,

Williams,

Stylianos

2024

Children

View full text Add to dashboard Cite

Solid organ injury (SOI) is common in children who experience abdominal trauma, and the management of such injuries has evolved significantly over the past several decades. In 2000, the American Pediatric Surgical Association (APSA) published the first societal guidelines for the management of blunt spleen and/or liver injury (BLSI), advocating for optimized resource utilization while maintaining patient safety. Nonoperative management (NOM) has become the mainstay of treatment for SOI, and since the publication of the APSA guidelines, numerous groups have evaluated how invasive procedures, hospitalization, and activity restrictions may be safely minimized in children with SOI. Here, we review the current evidence-based management guidelines in place for the treatment of injuries to the spleen, liver, kidney, and pancreas in children, including initial evaluation, inpatient management, and long-term care, as well as gaps that exist in the current literature that may be targeted for further optimization of protocols for pediatric SOI.

show abstract

“…Traumatic injuries are the leading cause of pediatric mortality; however, a majority of patients can benefit from nonsurgical management ( 3 ). Liu et al confirms the relevance of a non-surgical approach, highlighting the effectiveness of interventional radiology in “Severe blunt liver injury complicated by delayed massive hemobilia in a toddler: A case report and literature review.”…”

Section: Acquired Diseasesmentioning

confidence: 99%