Download PDF
Semin intervent Radiol 2009; 26(3): 207-214
DOI: 10.1055/s-0029-1225669
© Thieme Medical Publishers

Visceral Arteriography in Trauma

A. Rao Chimpiri1 , Balasubramani Natarajan1
  • 1Department of radiology, Oklahoma University of Health Sciences, Oklahoma City, Oklahoma
Further Information

Publication History

Publication Date:
12 August 2009 (online)

Also available at
    Permissions and Reprints

ABSTRACT

The nonoperative management including endovascular treatment of traumatic injuries to most abdominal solid viscera is increasingly gaining acceptance as treatment of choice in a select group of patients. The indications, techniques, and principles of endovascular management of hepatic, splenic, and renal injuries are discussed in this review.

KEYWORDS

Embolization - hepatic injury - renal injury - splenic injury - angiography

REFERENCES

  • 1 Hagiwara A, Murata A, Matsuda T, Matsuda H, Shimazaki S. The efficacy and limitations of transarterial embolization for severe hepatic injury.  J Trauma. 2002;  52(6) 1091-1096
    CrossrefPubMedGoogle Scholar
  • 2 Hagiwara A, Yukioka T, Ohta S et al.. Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization.  AJR Am J Roentgenol. 1997;  169(4) 1151-1156
    CrossrefPubMedGoogle Scholar
  • 3 Schwartz R A, Teitelbaum G P, Katz M D, Pentecost M J. Effectiveness of transcatheter embolization in the control of hepatic vascular injuries.  J Vasc Interv Radiol. 1993;  4(3) 359-365
    CrossrefPubMedGoogle Scholar
  • 4 Hidalgo F, Narváez J A, Reñé M, Domínguez J, Sancho C, Montanyà X. Treatment of hemobilia with selective hepatic artery embolization.  J Vasc Interv Radiol. 1995;  6(5) 793-798
    CrossrefPubMedGoogle Scholar
  • 5 Goffette P P, Laterre P F. Traumatic injuries: imaging and intervention in post-traumatic complications (delayed intervention).  Eur Radiol. 2002;  12(5) 994-1021
    CrossrefPubMedGoogle Scholar
  • 6 Croce M A, Fabian T C, Menke P G et al.. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial.  Ann Surg. 1995;  221(6) 744-753, discussion 753–755
    PubMedGoogle Scholar
  • 7 Hagiwara A, Yukioka T, Shimazaki S, Megawa T, Matuda H. Delayed hemorrhage following transcatheter arterial embolization for blunt hepatic injury.  Cardiovasc Intervent Radiol. 1993;  16(6) 380-383
    CrossrefPubMedGoogle Scholar
  • 8 Gow K W, Murphy III J J, Blair G K, Stringer D A, Culham J A, Fraser G C. Splanchnic artery pseudo-aneurysms secondary to blunt abdominal trauma in children.  J Pediatr Surg. 1996;  31(6) 812-815
    CrossrefPubMedGoogle Scholar
  • 9 Sidhu M K, Shaw D WW, Daly C P, Waldhausen J H, Coldwell D. Post-traumatic hepatic pseudoaneurysms in children.  Pediatr Radiol. 1999;  29(1) 46-52
    CrossrefPubMedGoogle Scholar
  • 10 Owings J T, Lengle S J. Combined hepatic abscess and arterial pseudoaneurysms from blunt trauma: a case report and management strategy.  J Trauma. 1995;  38(4) 634-638
    CrossrefPubMedGoogle Scholar
  • 11 Tzeng W S, Wu R H, Chang J M et al.. Transcatheter arterial embolization for hemorrhage caused by injury of the hepatic artery.  J Gastroenterol Hepatol. 2005;  20(7) 1062-1068
    PubMedGoogle Scholar
  • 12 Teitelbaum G P, Reed R A, Larsen D et al.. Microcatheter embolization of non-neurologic traumatic vascular lesions.  J Vasc Interv Radiol. 1993;  4(1) 149-154
    CrossrefPubMedGoogle Scholar
  • 13 Ohtsuka Y, Iwasaki K, Okazumi S et al.. Management of blunt hepatic injury in children: usefulness of emergency transcatheter arterial embolization.  Pediatr Surg Int. 2003;  19(1-2) 29-34
    PubMedGoogle Scholar
  • 14 Hasegawa S, Moriwaki Y, Uchida K, Kosuge T, Yamamoto T, Sugiyama M. Biliary leakage due to a rapidly growing post-traumatic hepatic artery pseudoaneurysm: a case report.  Hepatogastroenterology. 2004;  51(56) 434-435
    PubMedGoogle Scholar
  • 15 Huang X Q, Huang Z Q, Duan W D, Zhou N X, Feng Y Q. Severe biliary complications after hepatic artery embolization.  World J Gastroenterol. 2002;  8(1) 119-123
    PubMedGoogle Scholar
  • 16 Wolf H M, Eibl M M, Georgi E et al.. Long-term decrease of CD4+CD45RA+ T cells and impaired primary immune response after post-traumatic splenectomy.  Br J Haematol. 1999;  107(1) 55-68
    CrossrefPubMedGoogle Scholar
  • 17 Sclafani S J, Shaftan G W, Scalea T M et al.. Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis.  J Trauma. 1995;  39(5) 818-825, discussion 826–827
    CrossrefPubMedGoogle Scholar
  • 18 Davis K A, Fabian T C, Croce M A et al.. Improved success in nonoperative management of blunt splenic injuries: embolization of splenic artery pseudoaneurysms.  J Trauma. 1998;  44(6) 1008-1013, discussion 1013–1015
    CrossrefPubMedGoogle Scholar
  • 19 Haan J M, Biffl W, Knudson M M Western Trauma Association Multi-Institutional Trials Committee et al. Splenic embolization revisited: a multicenter review.  J Trauma. 2004;  56(3) 542-547
    CrossrefPubMedGoogle Scholar
  • 20 Schwalke M A, Crowley J P, Spencer P, Metzger J, Kawan M, Burchard K W. Splenic artery ligation for splenic salvage: clinical experience and immune function.  J Trauma. 1991;  31(3) 385-388
    PubMedGoogle Scholar
  • 21 Hagiwara A, Sakaki S, Goto H et al.. The role of interventional radiology in the management of blunt renal injury: a practical protocol.  J Trauma. 2001;  51(3) 526-531
    CrossrefPubMedGoogle Scholar
  • 22 Eastham J A, Wilson T G, Ahlering T E. Urological evaluation and management of renal-proximity stab wounds.  J Urol. 1993;  150(6) 1771-1773
    PubMedGoogle Scholar
  • 23 Uflacker R, Paolini R M, Lima S. Management of traumatic hematuria by selective renal artery embolization.  J Urol. 1984;  132(4) 662-667
    PubMedGoogle Scholar
  • 24 Heyns C F, Van Vollenhoven P. Selective surgical management of renal stab wounds.  Br J Urol. 1992;  69(4) 351-357
    CrossrefPubMedGoogle Scholar
  • 25 Bruce L M, Croce M A, Santaniello J M, Miller P R, Lyden S P, Fabian T C. Blunt renal artery injury: incidence, diagnosis, and management.  Am Surg. 2001;  67(6) 550-554, discussion 555–556
    PubMedGoogle Scholar
  • 26 Clark D E, Georgitis J W, Ray F S. Renal arterial injuries caused by blunt trauma.  Surgery. 1981;  90(1) 87-96
    PubMedGoogle Scholar

A. Rao ChimpiriF.R.C.R. 

Assistant Professor of Radiology

Oklahoma University of Health Sciences, Oklahoma City, OK 73126-0901

Email: rao-chimpiri@ouhsc.edu

      >