• Hepato Gastroenterol · May 2003

    Arterial embolization in the treatment of severe blunt hepatic trauma.

    • Luigi Greco, Giuseppe Francioso, Annalisa Pratichizzo, Mario Testini, Giovanni Impedovo, and Giovanni Carlo Ettorre.
    • Dipartimento dell'Emergenza e Trapianti d'Organo, Università di Bari, Italy.
    • Hepato Gastroenterol. 2003 May 1; 50 (51): 746-9.

    Background/AimsThe Authors stress the role of arterial embolization in the treatment of severe blunt hepatic trauma, with stable hemodynamic conditions, but with continuous bleeding, demonstrated by computed tomography scan.MethodologyAll patients with hepatic blunt trauma were evaluated with hemodynamic and radiological follow-up. When computed tomography scan showed continuous bleeding, arterial embolization was performed.ResultsArterial embolization was performed on 9 patients, 8 cases successfully. Only one patient required surgical treatment.ConclusionsOur results show that arterial embolization is useful and effective in the treatment of severe blunt hepatic trauma when, in spite of stable hemodynamic state, computed tomography scan shows persistent bleeding.

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