Percutaneous Control of Post-Traumatic Hepatic Hemorrhage by Gelfoam Embolization

Bass, E. M.; Crosier, James H.

doi:10.1097/00005373-197701000-00009

Cited by 37 publications

(6 citation statements)

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“…Hepatic artery embolization was shown to be a valuable adjunct in the management of posttraumatic hepatic hemorrhage [38,53,54]. Embolization on an emergency basis and as a primary hemostatic treatment was reported in small series of patients (Fig.…”

Section: Hepatic Injuriesmentioning

confidence: 99%

“…Embolization on an emergency basis and as a primary hemostatic treatment was reported in small series of patients (Fig. 4) [53,54,55,56,57]. Emergency arterial liver embolization can be performed in marginally stable patients with complex liver injury in specialized centers.…”

Section: Hepatic Injuriesmentioning

confidence: 99%

“…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%

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Traumatic injuries: radiological hemostatic intervention at admission

Dondelinger¹,

Trotteur²,

Ghaye³

et al. 2002

Eur Radiol

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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.

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Section: Hepatic Injuriesmentioning

confidence: 99%

Section: Hepatic Injuriesmentioning

confidence: 99%

Section: Hepatic Injuriesmentioning

confidence: 99%

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Traumatic injuries: radiological hemostatic intervention at admission

Dondelinger¹,

Trotteur²,

Ghaye³

et al. 2002

Eur Radiol

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“…In an experimental model, it was shown that minor hemobilia produces pure blood clots, whereas in major hemorrhage, mixed clots of blood and bile are formed [6]. Blood clots are often casts of the biliary tree and when they are small and distal in the common duct they appear as filling defects on the T-tube cholangio gram which can be mistaken for retained stones [7], With minor hemobilia treatment can be conservative [8]; when the hemorrhage is profuse or persistent, surgery must be undertaken although in selected cases angio graphic embolization can be performed [9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Hemobilia following T-Tube Drainage of the Common Duct

Schil¹,

Schoofs²

1987

Dig Surg

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“…There is substantial experience of embolisation in the management of blunt abdominal trauma, first described following hepatic injury in 1977 [10]. Splenic embolisation was initially described for haematological indications in the 1970s [11,12] and its use in the management of splenic injury was first reported in the early 1980s [13].…”

Section: Introductionmentioning

confidence: 99%

Angiography and embolisation for solid abdominal organ injury in adults - a current perspective

2010

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Over the past twenty years there has been a shift towards non-operative management (NOM) for haemodynamically stable patients with abdominal trauma. Embolisation can achieve haemostasis and salvage organs without the morbidity of surgery, and the development and refinement of embolisation techniques has widened the indications for NOM in the management of solid organ injury. Advances in computed tomography (CT) technology allow faster scanning times with improved image quality. These improvements mean that whilst surgery is still usually recommended for patients with penetrating injuries, multiple bleeding sites or haemodynamic instability, the indications for NOM are expanding.We present a current perspective on angiography and embolisation in adults with blunt and penetrating abdominal trauma with illustrative examples from our practice including technical advice.

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Percutaneous Control of Post-Traumatic Hepatic Hemorrhage by Gelfoam Embolization

Cited by 37 publications

References 0 publications

Traumatic injuries: radiological hemostatic intervention at admission

Traumatic injuries: radiological hemostatic intervention at admission

Hemobilia following T-Tube Drainage of the Common Duct

Angiography and embolisation for solid abdominal organ injury in adults - a current perspective

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