Purpose
To evaluate the effectiveness of HAE in patients with traumatic liver injury. Method: Eleven patients with traumatic liver injury who were treated with HAE from January 2000 to December 2002 were included in this study. The hepatic injuries were classified into five grades according to CT scan findings on the basis of the injury scale of the American Association for the Surgery of Trauma. All patients with grade III to V injury underwent angiography. If active hemorrhage evidence was found during angiography, hepatic artery embolization with Gelfoam or stainless coil was performed. Result: Among 129 patients with traumatic liver injury, Eleven cases of hepatic arterial embolization were performed. Two of these patients had CT scan grade III injury, 4 had grade IV injury, and 2 had grade V injury. HAE was primarily performed in eight patients, and performed after laparotomy in three patients. Five patients of eight patients who underwent HAE primaryly showed successful outcomes which were supported by shock index improvement(p=0.034) and less required packed RBC amount(p=0.028). Laparotomy was performed in HAE failed three patients, only one patient was recovered. Two of three patients who underwent post-laparotomy HAE showed successful results. Overall treatment success rate of HAE was 63.6%(7/11). Conclusion: HAE is a preferable non-surgical management in patient with traumatic liver injury.
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