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Review
. 2024 Mar 29;14(4):365.
doi: 10.3390/jpm14040365.

Damage Control Interventional Radiology in Liver Trauma: A Comprehensive Review

Fabio Corvino  1   2 , Francesco Giurazza  2 , Paolo Marra  3 , Anna Maria Ierardi  4 , Antonio Corvino  5 , Antonio Basile  6 , Massimo Galia  1 , Agostino Inzerillo  1 , Raffaella Niola  2
Affiliations
Review

Damage Control Interventional Radiology in Liver Trauma: A Comprehensive Review

Fabio Corvino et al. J Pers Med. .

Abstract

The liver is the second most common solid organ injured in blunt and penetrating abdominal trauma. Non-operative management (NOM) has become the standard of care for liver injuries in stable patients, where transarterial embolization (TAE) represents the main treatment, increasing success rates and avoiding invasive surgical procedures. In hemodynamically (HD) unstable patients, operative management (OM) is the standard of care. To date, there are no consensus guidelines about the endovascular treatment of patients with HD instability or in ones that responded to initial infusion therapy. A review of the literature was performed for published papers addressing the outcome of using TAE as the primary treatment for HD unstable/transient responder trauma liver patients with hemorrhagic vascular lesions, both as a single treatment and in combination with surgical treatment, focusing additionally on the different definitions used in the literature of unstable and transient responder patients. Our review demonstrated a good outcome in HD unstable/transient responder liver trauma patients treated with TAE but there still remains much debate about the definition of unstable and transient responder patients.

Keywords: damage control interventional radiology; hemodynamic instability; liver trauma; transarterial embolization.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA flow diagram for systematic research and selection of studies included in the review.
See this image and copyright information in PMC

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