The method of embolization to stop bleeding after liver and kidney injury

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor I Tran Quoc Vinh - Emergency Doctor - Department of Resuscitation - Emergency - Vinmec Nha Trang International General Hospital. Doctor Tran Quoc Vinh has more than 6 years of working experience (starting in 2011) in the field of Emergency Medicine.
Embolization is indicated when there is vascular lesion on the CT image, it should be performed as soon as the patient's hemodynamic stability is stable. This method is less invasive, safe and effective for vascular lesions in liver and kidney injury with a high success rate, without having to convert to open surgery.

1. What is a hemostatic plug?

In the event that an organ (eg kidney, spleen, liver, ..) is damaged, the patient will be at risk of blood loss and will lead to serious complications. Therefore, treatment to stop bleeding is necessary. Therefore, the method of hemostasis is usually applied in these cases.
Hemostatic embolization is the occlusion of a vessel by the intravascular route with occlusive agents. The doctor will use a digital background eraser to perform the arterial embolization procedure to stop the bleeding.

2. The method of embolization to stop bleeding after liver and kidney injury

Usually, the patient will be indicated for emergency surgery to treat injuries related to internal organs. However, with the method of hemostatic embolization in liver injury, or hemostasis after kidney injury, the patient will not have to undergo major surgery to remove the liver, kidney, ... lasting hours. , potential complications during and after surgery.
2.1. Advantages of hemostasis after liver and kidney injury The technique of hemostasis after liver and kidney injury, if successfully implemented, will stop bleeding immediately, preserving internal organs; Patients do not have to undergo splenectomy with many risks of complications during and after surgery. The placement of the interventional device is very small, so it will not cause bleeding and leave no scars. Besides, the process of performing the technique takes place quickly, in only about 30-45 minutes, unlike the open surgery method, which lasts many hours. The method of embolization to stop bleeding after kidney and liver injury does not cause pain for the patient and the patient is fully awake. After 3 days of embolization, the patient started to recover well and did not lose any more blood.

2.2. Steps for hemostasis after liver and kidney injury Step 1: Prepare a digital background eraser (DSA machine) and related tools. Step 2: The person performing the hemostatic embolization method will thread a small catheter, from the femoral artery in the right groin area, into the aorta. The catheter is then inserted into the hepatic or renal artery. Step 3: The person conducting embolization injects contrast material to take pictures of the vascular system in the liver or kidneys. Once the bleeding site has been identified in the liver or kidney, the person performing embolization continues to thread a very small catheter into the damaged artery branches, injecting glue to seal the rupture to stop the bleeding. 2.3. Follow-up after hemostasis after liver and kidney injury Follow-up after hemostasis: apply pressure, immobilize the right femoral artery at the puncture site for 6 hours, monitor the general condition as well as blood pressure, pulse, complete blood count and blood chemistry. CT scan of the abdomen after 03 days of hemostasis: Consider whether the amount of blood is reduced or not; If no blood vessel damage was found, the patient was discharged from the hospital.

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