Angioembolization vs. Surgery in Penetrating Hepatic Trauma: Balancing Survival and Hospital Stay

Highlight

• Angioembolization in penetrating liver trauma achieves survival rates comparable to surgical intervention.
• Compared to surgery, angioembolization is associated with significantly longer hospital, intensive care unit (ICU) stays, and prolonged ventilator dependency.
• Lower systolic blood pressure on admission, higher abdominal injury severity, and increased transfusion requirements predict need for adjunctive angioembolization post-surgery.
• Early risk stratification may optimize the combined use of surgery and angioembolization to improve outcomes.

Study Background