title: Percutaneous treatment of blunt hepatic and splenic trauma under contrast-enhanced ultrasound guidance.
abstract: The objective of this study was to evaluate the clinical application of hemostatic percutaneous therapy of liver and spleen trauma under contrast-enhanced ultrasound (CEUS) guidance. A total of 83 patients with 88 traumatic organ lesions were included in this study. Liver or spleen lesions were treated by percutaneous injection of haemocoagulase atrox and α-cyanoacrylate under CEUS guidance. The results showed that one treatment was sufficient to successfully control hemorrhaging in 86 of 88 traumatic organ lesions. In 2 of 88 traumas, a second percutaneous hemostatic treatment was necessary. Percutaneous treatment of blunt hemorrhagic trauma under CEUS guidance is a feasible and safe adjunct to observation in the nonoperative management.
authors.affiliation: Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.
authors.forename: Faqin
authors.initials: F
authors.lastname: Lv
authors.forename: Jie
authors.initials: J
authors.lastname: Tang
authors.forename: Yukun
authors.initials: Y
authors.lastname: Luo
authors.forename: Yongkang
authors.initials: Y
authors.lastname: Nie
authors.forename: Ziyu
authors.initials: Z
authors.lastname: Jiao
authors.forename: Tanshi
authors.initials: T
authors.lastname: Li
authors.forename: Xuan
authors.initials: X
authors.lastname: Zhou
mesh_terms: D000328:Adult; D003287:Contrast Media; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D010743:Phospholipids; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries*; D013459:Sulfur Hexafluoride; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*
chemical_list: D003287:Contrast Media; D006490:Hemostatics; D010743:Phospholipids; C420843:contrast agent BR1; D013459:Sulfur Hexafluoride