Usefulness of emergency transcatheter arterial embolization in the arterial liver hemorrhages

Yıl 2005, Cilt: 36 Sayı: 3, 133 - 136, 01.04.2005

Savaş Demirbilek Ramazan Kutlu

Öz

The prevalence of liver injury in patients who sustained blund multipl trauma was reported to range from 18%. Because previous mortality rates were as high as 50-80% for severe hepatic injury, the choice of treatment was under investigation. Whereas nonsurgical treatment fort he hemodinamically stable patient, there is no consensus on how to treat hemodinamically unstable patients. This report details the case of a patient who sustained blunt abdomianal trauma, resulting grade IV liver injury. Patient was hemodinamically unstable and emergency transcatheter arterial embolization was done to left hepatic arteria. We proposed that emergency transcatheter arterial embolization should be considered initial treatment for severe blunt hepatic injury in children.

Anahtar Kelimeler

Embolization, Therapeutic, Hemorrhage, Liver, Wounds and Injuries, Child

Arteryal karaciğer kanamalarında acil transkateteryal arteryal embolizasyonun yararlılığı

Öz

Abdominal künt multipl travmaya maruz kalan hastalarda karaciğer hasarı gelişme şansı %1 ila %8 olarak bildirilmiştir. Ciddi karaciğer yaralanmalarında mortalite oranları cerrahi ile %50-80 gibi yüksek değerlere ulaşabildiğinden, ideal tedavi seçeneği halen araştırılmaktadır. Noncerrahi tedavi hemodinamik olarak stabil hastalarda standart tedavi seçeneği iken, stabil olmayan hastalarda tedavi konusunda tam bir görüş birliği bulunmamaktadır. Bu raporda künt karın travması sonrasında evre IV karaciğer hasarlı, hemodinamik olarak stabil durumda olmayan çocuk hastamızda uygulanan acil transkateteryel sağ hepatik arter embolizasyonu sunulmuştur. Acil transkateteryel hepatik arter embolizasyonun ciddi karaciğer hasarlı olgularda ilk tedavi seçeneklerinden biri olabileceği düşünülmüştür.

Anahtar Kelimeler

Embolizasyon, terapötik, Kanama, Karaciğer, Yaralar ve yaralanmalar, Çocuk

Kaynakça

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