ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021
Transcatheter arterial embolization for severe blunt liver injury in hemodynamically unstable patients: a 15-year retrospective study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Nonoperative management with angioembolization for blunt abdominal solid organ trauma in hemodynamically unstable patients: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Pooled it
- Delayed hemorrhage from a variant renal-origin inferior phrenic artery after liver trauma repair: A case report.Trauma case reports · 2026Article
- Traumatic Liver Injury With Delayed Bleeding After Extracorporeal Cardiopulmonary Resuscitation.Cureus · 2026Article
- Pledgets infection and persistent bile leak following severe blunt liver trauma treated by partial liver resection: A case report.Trauma case reports · 2025Article
- The Interface of Trauma Surgery and Interventional Radiology: The Trauma Surgeon's Perspective.Seminars in interventional radiology · 2025Review
- Solid Organ Injuries: To Irradiate or Operate?Seminars in interventional radiology · 2025Review
- Hemobilia: A Narrative Review of Current Diagnostic Techniques and Emerging Management Strategies.Cureus · 2024Review
- Carbon dioxide angiography during angioembolization for trauma patients increases the detection of active bleeding and leads to reliable hemostasis: a retrospective, observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Damage Control Interventional Radiology in Liver Trauma: A Comprehensive Review.Journal of personalized medicine · 2024Review
- Comparative efficacy of sequential treatment and open abdomen approaches for corrosive abdominal hemorrhage due to inadequate drainage of duodenal leakage: a cohort study.Surgical endoscopy · 2024Article
- Endovascular embolization of persistent liver injuries not responding to conservative management: a narrative review.Journal of trauma and injury · 2023Review
- Experimental study of the effects of absorbable gelatin sponge and non‑absorbable polyvinyl alcohol particle material used in transcatheter arterial embolization on liver tissues.Experimental and therapeutic medicine · 2023Article
- Management of severe liver injuries: push, pack, pringle - and plug!Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Factors associated with prolonged procedure time of embolization for trauma patients.Acute medicine & surgeryArticle
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8 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTranscatheter arterial embolization (TAE) is the first-line nonsurgical treatment for severe blunt liver injury in patients, whereas operative management (OM) is recommended for hemodynamically unstable patients. This study investigated the comparative efficacy of TAE in hemodynamically unstable patients who responded to initial infusion therapy.
methodsThis retrospective study enrolled patients with severe blunt liver injuries, which were of grades III-V according to the American Association for the Surgery of Trauma Organ Injury Scale (OIS). Patients who responded to initial infusion therapy underwent computed tomography to determine the treatment plan. A shock index > 1, despite undergoing initial infusion therapy, was defined as hemodynamic instability. We compared the clinical outcomes and mortality rates between patients who received OM and those who underwent TAE.
resultsSixty-two patients were included (eight and 54 who underwent OM and TAE, respectively; mean injury severity score, 26.6). The overall in-hospital mortality rate was 6% (13% OM vs. 6% TAE, p = 0.50), and the hemodynamic instability was 35% (88% OM vs. 28% TAE, p < 0.01). Hemodynamically unstable patients who underwent TAE had 7% in-hospital mortality and 7% clinical failure. Logistic regression analysis showed that the treatment choice was not a predictor of outcome, whereas hemodynamic instability was an independent predictor of intensive care unit stay ≥7 days (odds ratio [OR], 3.80; p = 0.05) and massive blood transfusion (OR, 7.25; p = 0.01); OIS grades IV-V were predictors of complications (OR, 6.61; p < 0.01).
conclusionsTAE in hemodynamically unstable patients who responded to initial infusion therapy to some extent has acceptable in-hospital mortality and clinical failure rates. Hemodynamic instability and OIS, but not treatment choice, affected the clinical outcomes.
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