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Semin intervent Radiol 2024; 41(05): 515-526
DOI: 10.1055/s-0044-1792089
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A Synergistic Approach To Acute Liver Trauma: Current Guidelines and the Importance of Collaboration Between Interventional Radiology and Trauma Surgery

Dan F. Laney IV
1   Section of Interventional Radiology, Department of Radiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana
,
Daniela Medina
2   Section of Vascular Surgery, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana
,
Alexandra H. Fairchild
1   Section of Interventional Radiology, Department of Radiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana
,
Bahri Ustunsoz
1   Section of Interventional Radiology, Department of Radiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana
,
Alison Smith
3   Section of Trauma/Critical Care, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana
,
Hector Ferral
1   Section of Interventional Radiology, Department of Radiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana
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Trauma surgery (TS) and interventional radiology (IR) are integral in managing traumatic liver injury. Surgical exploration and primary repair of the liver is still the standard approach; however, in recent years, the role of endovascular intervention has increased in managing both blunt and penetrating trauma to the liver. Recent surgical guidelines for the management of trauma patients now emphasize nonoperative management including time metrics for angioembolization. Consequently, it is crucial for IR and TS to work in conjunction to treat patients with liver trauma, particularly in cases of severe, complex, or unusual injuries. The purpose of this article is to review the imaging findings and management protocols of blunt and penetrating trauma to the liver as performed in a single level-1 trauma center.



Publication History

Article published online:
10 December 2024

© 2024. Thieme. All rights reserved.

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