Percutaneous Angiographic Embolization for Hepatic Arterial Hemorrhage

Wagner, Willis H.; Lundell, Caroline J.; Donovan, Arthur J.

doi:10.1001/archsurg.1985.01390350027007

Cited by 64 publications

(22 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emergency arterial liver embolization can be performed in marginally stable patients with complex liver injury in specialized centers. Other reports have illustrated the value of arterial embolization for ongoing or recurrent hemorrhage, despite laparotomy [53,58,59]. General indications for angiography and arterial hepatic embolization are evidence of continuous hemorrhage, or patients who remain borderline after resuscitation and in whom contrast medium extravasation or intraparenchymal blush or contrast staining is seen on CT [60,61,62].…”

Section: Hepatic Injuriesmentioning

confidence: 99%

Traumatic injuries: radiological hemostatic intervention at admission

Dondelinger¹,

Trotteur²,

Ghaye³

et al. 2002

Eur Radiol

View full text Add to dashboard Cite

Blunt trauma victims and selected patients with penetrating trauma are systematically investigated after resuscitation and hemodynamic stabilization with cross-sectional imaging. Computed tomography is a good predictor of the need for hemostatic arteriographic embolization, based on contrast medium extravasation observed on CT. In centers admitting polytrauma patients, the CT and angiography units should be installed together within the emergency environment. Trauma-dedicated interventional radiologists should be on call for optimal patient management. Posttraumatic retroperitoneal and pelvic bleeding is a primary indication for angiographic hemostasis, together with orthopedic fixation of pelvic bone fractures. Angiography should be carried out rapidly, before the patient decompensates for considerable blood loss. In patients with visceral bleeding, arterial embolization can obviate primary surgery or potentializes surgical intervention and contributes to changing hierarchy of injuries to be treated surgically. Failure to achieve primary hemostasis may occur according to the type of specific organ injury and coagulation and metabolic parameters of the patient. Postembolization complications are few and are usually non-life-threatening and rarely carry definitive sequelae.

show abstract

Section: Hepatic Injuriesmentioning

confidence: 99%

Traumatic injuries: radiological hemostatic intervention at admission

Dondelinger¹,

Trotteur²,

Ghaye³

et al. 2002

Eur Radiol

View full text Add to dashboard Cite

show abstract

“…The site of the bleeding is identified by angiography. Selective catheterization of the bleeding arterial branch is the most important step in the embolization to obtain the best results and to avoid most complications [2,4,10,11,15,18,[25][26][27][28][29].…”

Section: Methodsmentioning

confidence: 99%

“…If complete arterial healing is achieved before embolus absorption, reestablishment of the arterial flow is very convenient. However, in the presence of large wounds, arteriovenous fistulas, or pseudoaneurysms, the absorption of the embolus may lead to rebleeding and a new AE must be performed or the patient has to be operated on [6,11,13,15,24,26,28].…”

Section: Methodsmentioning

confidence: 99%

“…Laparoscopic operations, endoscopic procedures and percutaneous interventions such as drainages, vascular or tumor sclerosis, biopsies and transjugular intrahepatic portocaval shunt (TIPS) are some examples, even though these procedures have increased the number of iatrogenic vascular and bile duct injuries [5][6][7][8][9][10][11].…”

mentioning

confidence: 99%

“…Occlusion of bleeding arterial branches was achieved using a gelatin sponge. Based on this experience, Walter et al (1976) and Bass (1977) started using arterial embolization (AE) to control hemorrhages caused by injury of the hepatic artery due to blunt trauma [11][12][13].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Arterial Embolization for Hemorrhage Caused by Hepatic Arterial Injury

Petroianu

2007

Dig Dis Sci

View full text Add to dashboard Cite

Fewer than 10% of patients with major liver trauma have life-threatening bleeding. Laparoscopic operations, endoscopic procedures, and percutaneous interventions such as drainages, vascular or tumor sclerosis, biopsies, and transjugular intrahepatic portocaval shunt (TIPS) have increased the number of iatrogenic vascular and bile duct injuries. Due to its therapeutic success, arterial embolization (AE) has become the standard treatment for late complications of hepatic injury. In some cases, this procedure may be used as the first approach on accidental or iatrogenic arterial trauma and in several hepatic arterial diseases. The result of this method depends on physician experience, size of the wound, and stability of the patient. Persistent hemorrhage and rebleeding may be treated with a new AE or an operation. Precise indication and a correctly performed AE are key factors for a successful treatment. Rebleeding episodes are a rare occurrence, which may be treated with AE as well.

show abstract

Disorders of the Liver, Biliary System and Pancreas

Fagan¹

2002

Medical Disorders in Obstetric Practice

View full text Add to dashboard Cite

Percutaneous Angiographic Embolization for Hepatic Arterial Hemorrhage

Cited by 64 publications

References 46 publications

Traumatic injuries: radiological hemostatic intervention at admission

Traumatic injuries: radiological hemostatic intervention at admission

Arterial Embolization for Hemorrhage Caused by Hepatic Arterial Injury

Disorders of the Liver, Biliary System and Pancreas

Contact Info

Product

Resources

About