ĐÁNH GIÁ KẾT QUẢ CAN THIỆP NÚT MẠCH TRONG ĐIỀU TRỊ CHẤN THƯƠNG GAN CÓ TỔN THƯƠNG ĐỘNG MẠCH

Abstract

Objective: This study aims to analyze the clinical, laboratory, and imaging characteristics of patients with hepatic trauma who underwent transarterial embolization. Additionally, it evaluates the outcomes of embolization in the management of hepatic  trauma. Materials and Methods: A cross-sectional descriptive study was conducted on 104 patients with hepatic trauma who underwent embolization at Viet Duc Hospital from January 2021 to January 2025. Results: Among the 104 patients, the average age was 32.48 ± 15.72 years (range: 5-76 years). The majority were male, comprising 74 patients (71.2%). According to the World Society of Emergency Surgery (WSES) classification from 2020, the distribution was as follows: 31 patients (28.4%) were grade II, 72 patients (66.1%) were grade III, and 6 patients (5.5%) were grade IV. Among the 36 patients requiring blood transfusion prior to intervention, the average blood volume transfused was 3.39 ± 2.83 units. Technical success after the first embolization attempt was 100%. Clinical success at the first embolization was achieved in 84.6% of cases. One patient (1%) required a second embolization, and 14 patients (13.5%) were converted to surgical intervention. The average length of hospital stay was 15 ± 9.5 days. Complications included 2 patients with bile leaks, 1 patient with biloma, and 1 patient with gallbladder necrosis accompanied by liver parenchyma necrosis. There were no deaths related to embolization. Conclusion: Angiographic embolization is a safe and effective treatment for hepatic trauma, achieving high success rates in hepatic trauma conservation. The 2020 WSES classification system aids in guiding treatment strategies.