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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2017; 01(01): 013-019
DOI: 10.1055/s-0036-1597839
Original Article
Indian Society of Vascular and Interventional Radiology

Safety and Effectiveness of Transarterial Embolization for Blunt Abdominal Injuries: A Multicenter Study with Review of Literature

Mathew Cherian
1   Department of Radiology, Kovai Medical Center and Hospital, Coimbatore, India
,
Tejas Kalyanpur
1   Department of Radiology, Kovai Medical Center and Hospital, Coimbatore, India
,
Krishna Swami Murali
2   Department of Interventional Radiology, Vijaya Health Center, Chennai, India
,
Ashwin Garg
3   Maharaja Agrasen Hospital, New Delhi, India
,
Yadav Munde
4   Department of Interventional Radiology, Ruby Hall Clinic, Pune, India
,
Ajit Yadav
5   Department of Interventional Radiology, Sir Ganga Ram Hospital, Delhi, India
,
Arun Gupta
5   Department of Interventional Radiology, Sir Ganga Ram Hospital, Delhi, India
,
Sibasankar Dalai
6   Department of Interventional Radiology, Seven Hills Hospital, Visakhapatnam, India
,
Paresh Desai
7   Department of Diagnostic and Interventional Radiology, Apollo Victor Hospital, Goa, India
,
Prithviraj Jadhav
8   Department of Interventional Radiology, Aster Aadhaar Hospital, Kolhapur, India
› Author Affiliations
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Publication History

Publication Date:
28 July 2017 (online)

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Abstract

Aims To evaluate the safety and effectiveness of transarterial embolization for blunt abdominal trauma in patients without the imaging signs of peritonitis or bowel injury.

Materials and Methods A total of 45 patients (41 males and 4 females; mean age: 32.15) were studied, of which 48% were hemodynamically unstable. All patients underwent multidetector computed tomography prior to selective angiography and embolization. Outcomes were considered as favorable if embolization was successful in achieving hemostasis. The frequency of complications, mortality rates, and duration of hospital stay were calculated.

Results Embolization was successful in achieving hemostasis in all patients. None of the patients required surgery to achieve hemostasis after embolization. The overall mortality rate was 13.3% and none related to persistent bleeding. The mean intensive care unit stay was 5.6 days and the median was 3.5 days. Only one patient required continued blood transfusion of more than 10 units after embolization. No major complications were encountered except for one patient who required hemodialysis for acute renal injury related to embolization procedure.

Conclusion Transarterial embolization is very effective in treating bleeding related to blunt abdominal trauma even in hemodynamically unstable patients and is associated with minimal complications. Embolization should be considered as an integral part of resuscitative measures for bleeding related to trauma.

Keywords

embolization - trauma - abdomen
 

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