Damage Control Interventional Radiology in Liver Trauma: A Comprehensive Review

Author:

Corvino Fabio12ORCID,Giurazza Francesco2,Marra Paolo3ORCID,Ierardi Anna Maria4,Corvino Antonio5ORCID,Basile Antonio6,Galia Massimo1ORCID,Inzerillo Agostino1,Niola Raffaella2

Affiliation:

1. Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University Hospital “Paolo Giaccone”, 90127 Palermo, Italy

2. Interventional Radiology Department, AORN “A. Cardarelli”, 80131 Naples, Italy

3. Department of Radiology, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy

4. Department of Diagnostic and Interventional Radiology, Foundation IRCCS Cà Granda—Ospedale Maggiore Policlinico, 20122 Milan, Italy

5. Medical, Movement and Wellbeing Sciences Department, University of Naples “Parthenope”, 80133 Naples, Italy

6. Radiology Unit 1, Department of Medical Surgical Sciences and Advanced Technologies “GF Ingrassia”, University Hospital “Policlinico-San Marco”, University of Catania, 95123 Catania, Italy

Abstract

The liver is the second most common solid organ injured in blunt and penetrating abdominal trauma. Non-operative management (NOM) has become the standard of care for liver injuries in stable patients, where transarterial embolization (TAE) represents the main treatment, increasing success rates and avoiding invasive surgical procedures. In hemodynamically (HD) unstable patients, operative management (OM) is the standard of care. To date, there are no consensus guidelines about the endovascular treatment of patients with HD instability or in ones that responded to initial infusion therapy. A review of the literature was performed for published papers addressing the outcome of using TAE as the primary treatment for HD unstable/transient responder trauma liver patients with hemorrhagic vascular lesions, both as a single treatment and in combination with surgical treatment, focusing additionally on the different definitions used in the literature of unstable and transient responder patients. Our review demonstrated a good outcome in HD unstable/transient responder liver trauma patients treated with TAE but there still remains much debate about the definition of unstable and transient responder patients.

Publisher

MDPI AG

Reference29 articles.

1. Definition of hemodynamic stability in blunt trauma patients: A systematic review and assessment amongst Dutch trauma team members;Loggers;Eur. J. Trauma Emerg. Surg.,2017

2. Effect of door-to-angioembolization time on mortality in pelvic fracture: Every hour of delay counts;Matsushima;J. Trauma Acute Care Surg.,2018

3. American College of Surgeons Committee on Trauma (2022, November 02). Resources for Optimal Care of the Injured Patient. Available online: https://www.facs.org/quality-programs/trauma/quality/verification-review-and-consultation-program/standards/.

4. Damage Control Interventional Radiology (DCIR): Evolving Value of Interventional Radiology in Trauma;Mathew;Cardiovasc. Interv. Radiol.,2022

5. Reply to “Damage Control Interventional Radiology (DCIR): Evolving Value of In-terventional Radiology in Trauma”;Clements;Cardiovasc. Interv. Radiol.,2022

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3