Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization.

Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization. Abstract Text:

A Hagiwara,T Yukioka,S Ohta,T Tokunaga,S Ohta,H Matsuda,S Shimazaki,

OBJECTIVE: We evaluated the efficacy of transcatheter arterial embolization (TAE) for patients with blunt hepatic injury. SUBJECTS AND METHODS: Of 372 patients with trauma, 60 had evidence on CT of hepatic injury (Mirvis classification). Six of the 60 patients required emergency laparotomy and were excluded. Of the 54 remaining patients, 28 were classified as having high-grade hepatic injury (Mirvis classification of 3 or 4). All 28 underwent arteriography, and TAE was performed in single or multiple hepatic arterial branches when extravasation was seen. Angiography was repeated and cholescintigraphy was performed on patients with continued bleeding or biloma. RESULTS: Injuries detected were grade 1 (n = 13), grade 2 (n = 13), grade 3 (n = 20), and grade 4 (n = 8). The injury was correlated with the degree of hemoperitoneum seen on CT. Patients with low-grade injuries (Mirvis classification of 1 or 2) were treated conservatively, and no deaths or liver-related morbidity occurred. Of the 28 patients with high-grade injury, 15 also had angiographic evidence of extravasation and underwent TAE. The average fluid resuscitation volume was significantly larger in this group than in the other 13 patients with high-grade injuries who did not undergo TAE. Embolization was successful in all 15 patients, and the shock index was significantly reduced after TAE. All patients survived, with follow-up at 1-8 months (2.5 +/- 1.8 months, mean +/- SD). CONCLUSION: TAE is an effective alternative to surgery for patients with high-grade liver injury.

Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization. Publishing Authors By Initials

A Hagiwara,T Yukioka,S Ohta,T Tokunaga,S Ohta,H Matsuda,S Shimazaki,

For similar disorders of environmental origin: wounds and injuries: wounds, nonpenetrating research abstracts see: disorders of environmental origin: wounds and injuries: wounds, nonpenetrating research

PUBMED ID PMID:

MEDLINE DATE:

Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJR. American journal of roentgenology

VOLUME: 169

Page Numbers: 1151-6

Journal Abbreviation:

ISSN: 0361-803X

DAY: 15

MONTH: Oct

YEAR: 1997

Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7708173

Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization. Keywords Mesh Terms:

KEYWORDS: Wounds, Nonpenetrating

MESH TERMS: therapy

Chemical & Substance for Abstract: Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization.

AFFILIATION: Department of Traumatology and Critical Care Medicine, Kyorin University School of Medicine, Tokyo, Japan.

Country: UNITED STATES

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: AJR Am J Roentgenol

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization Related Publications

• Achievements and future problems with component surgery of the cornea.
• Amniotic membrane transplantation for wound dehiscence after deep lamellar keratoplasty: a case report.
• Barrier function and cytologic features of the ocular surface epithelium after autologous cultivated oral mucosal epithelial transplantation.
• Blue light-induced autophosphorylation of phototropin is a primary step for signaling.
• Hyperleukocytosis in patients with leukemic follicular lymphoma.
• Immunohistochemistry and electron microscopy of retrocorneal scrolls in syphilitic interstitial keratitis.
• In vitro effects of bovine lactoferrin on autoaggregation ability and surface hydrophobicity of bifidobacteria.
• Insects from the grazing food web favoured the evolutionary habitat shift to bright environments in araneoid spiders.
• Interrelationship between plasma ionized calcium, plasma noradrenaline (NA) and pressor response to infused NA in patients with essential hypertension.
• Metastasis suppressor genes for prostate cancer.
• Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization.
• Nonsurgical management of patients with blunt splenic injury: efficacy of transcatheter arterial embolization.
• Outcome of patients with hormone-refractory prostate cancer: prognostic significance of prostate-specific antigen-doubling time and nadir prostate-specific antigen.
• Physiological properties of projection neurons in the monkey striatum to the globus pallidus.
• Postkeratoplasty atopic sclerokeratitis in keratoconus patients.
• Predicting the severity of systemic inflammatory response syndrome (SIRS)-associated coagulopathy with hemostatic molecular markers and vascular endothelial injury markers.
• Prop-type damping device.
• Protein phosphorylation and binding of a 14-3-3 protein in Vicia guard cells in response to ABA.
• SIRS-associated coagulopathy and organ dysfunction in critically ill patients with thrombocytopenia.
• Sensory afferent properties of immobilised or inflamed rat knees during continuous passive movement.
• Thyroid storm after blunt thyroid injury: a case report.
• [A case of caffeine poisoning, survived by percutaneous cardio-pulmonary support]
• [Focal point in the evaluation of nursing fees. A discussion]
• [Multiple coronary aneurysm resulting in myocardial infarction in a young man - successful surgical treatment using a bypass graft]
• [Nursing report: nursing students; attitudes toward nursing at the time of graduation from a 3-year nursing college]
• [Personification; a psychopathological study of the feeling of nature.]
• [Radiation induced osteosarcoma of the chest wall]
• [Simultaneous repair for funnel chest and intracardiac lesions in two pediatric patients]
• [The role of stem cell transplantation for multiple myeloma]
• [Ventricular volume characteristics and function in patients with single ventricle]