Trauma Rounds

Transcatheter Arterial Embolization in Blunt Hepatic Trauma

Authors: HOWARD C. HARPER, III, MD, KIMBALL I. MAULL, MD

Abstract

Patients with blunt hepatic injury can safely be managed nonoperatively if they show hemodynamic stability. Transcatheter arterial embolization (TAE) is a useful adjunct in the treatment of patients who show evidence of continued hemorrhage or who have pooling of contrast material on computed tomography (CT). In these patients, TAE may reduce transfusion requirements and allow healing of the injury without operation. Complications are uncommon and are usually managed nonoperatively.

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References