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Hepatic Artery Embolisation in Polytrauma Patients: A Case Series |
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Saurabh Kumar, Siddharth Mishra, Nitin Arun Dikshit, Anil Rawat 1. Assistant Professor, Department of Radiodiagnosis, King George’s Medical University, Lucknow, Uttar Pradesh, India. 2. Assistant Professor, Department of Radiodiagnosis, King George’s Medical University, Lucknow, Uttar Pradesh, India. 3. Assistant Professor, Department of Radiodiagnosis, King George’s Medical University, Lucknow, Uttar Pradesh, India. 4. Associate Professor, Department of Radiodiagnosis, King George’s Medical University, Lucknow, Uttar Pradesh, India. |
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Correspondence Address : Dr. Anil Rawat, Associate Professor, Department of Radiodiagnosis, King George’s Medical University, Lucknow, Uttar Pradesh-226003, India. E-mail: anilrawat@kgmcindia.edu |
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| ABSTRACT |  | ||||||
: Blunt hepatic injury is quite common in polytrauma cases. In this high-speed era, polytrauma cases are increasing, with serious mortality and morbidity. Authors hereby, described cases of three male patients presenting with blunt abdominal injuries and hepatic lacerations managed successfully with transarterial embolisation with minimal risk. The goal of the present case series was to demonstrate how hepatic artery embolisation can be used to treat blunt hepatic injuries in haemodynamically unstable patients when open surgery is not an option. All patients presenting with blunt trauma to the abdomen were initially screened by Focused Assessment with Sonography for Trauma (FAST), followed by Computed Tomography (CT) angiography of the abdomen where needed, and planned for embolisation of active bleeders or pseudoaneurysms. Transarterial hepatic artery embolisation is used for the management of high-grade liver injuries. Acute post-injury phases with definite evidence of bleeders in CT angiography, and situations where the diagnostic laparotomy is negative but the patient is unstable with low haemoglobin and requires a blood transfusion, are common indications for hepatic artery embolisation. Successful management of high-grade liver injuries often involves a combined angiographic and surgical approach. However, in situations where surgical intervention is not possible, Interventional Radiology (IR) might be the only saviour. | |||||||
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| Keywords : Computed tomography angiography, Intervention radiology, Liver injuries, Pseudoaneurysm | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2024/68181.2985
Date of Submission: Oct 21, 2023 Date of Peer Review: Dec 15, 2023 Date of Acceptance: Feb 07, 2024 Date of Publishing: May 01, 2024 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval Obtained for this study? No • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METH |
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