The role of interventional radiology in hepatic and renal hemorrhage embolization: single center experience and literature review

The role of interventional radiology in hepatic and renal hemorrhage embolization: single center experience and literature review


  • Ferruccio Sgalambro Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Italy
  • Aldo Victor Giordano Interventional Radiology and Neuroradiology, San Salvatore Hospital, L’Aquila, Italy
  • Sergio Carducci Interventional Radiology and Neuroradiology, San Salvatore Hospital, L’Aquila, Italy
  • Marco Varrassi Interventional Radiology and Neuroradiology, San Salvatore Hospital, L’Aquila, Italy
  • Marco Perri Diagnostic and Interventional Radiology, SS. Filippo e Nicola Hospital, Avezzano (AQ), Italy
  • Francesco Arrigoni Department of Emergency and Interventional Radiology, San Salvatore Hospital, L'Aquila, Italy
  • Pierpaolo Palumbo Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Italy and Italian Society of Medical and Interventional Radiology (SIRM), SIRM Foundation, Milan, Italy
  • Federico Bruno Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Italy and Italian Society of Medical and Interventional Radiology (SIRM), SIRM Foundation, Milan, Italy
  • Luca Bardi Dipartimento di Scienze Biomediche Avanzate, Università Federico II, Napoli
  • Maria Luisa Mangoni di S. Stefano Dipartimento di Laboratorio di Analisi e dei Servizi, Azienda Sanitaria Locale Napoli 3 Sud
  • Ginevra Danti Azienda Ospedaliero Universitaria Careggi, Firenze, Italy
  • Francesco Gentili Section of Radiology, Unit of Surgical Sciences, University of Parma, Parma, Italy
  • Maria Antonietta Mazzei Department of Medical, Surgical and Neuro Sciences, University of Siena, Department of Radiological Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy
  • Ernesto Di Cesare Department of Life, Health and Enviromental Sciences, University of L'Aquila, Italy
  • Alessandra Splendiani Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Italy
  • Carlo Masciocchi Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Italy
  • Antonio Barile Department of Biotechnological and Applied Clinical Science, University of L'Aquila, L’Aquila, Italy


arterial catheter embolization, liver hemorrhage, kidney hemorrhage, interventional radiology, CT angiography


Background and aim: Intraabdominal hemorrhage secondary to liver and kidney injury is a major cause of morbidity and mortality. Endovascular arterial embolization is an established interventional radiology technique used to treat active bleeding, and its role in managing abdominal hemorrhages is growing, given the increasing trend for conservative treatment. Our study aims to retrospectively evaluate the technical and clinical results and the possible complications of arterial embolization procedures performed in emergency, in post-traumatic, iatrogenic, and pathological hepatic and renal bleedings. Methods: We performed a ten-year, single-center retrospective survey (from January 2010 to December 2019) of all patients treated in emergency by intra-arterial embolization of liver and kidney bleeding. Preliminary CT angiography studies were evaluated, as well as the angiographic findings. Materials used, procedural data, and clinical outcomes, including complications, were recorded. Results: The diagnostic angiography showed a single source of bleeding in 20 cases (66.7%), two bleeding vessels in 4 cases (13.3%), and multiple hemorrhagic sources in 6 cases (20%). All bleeding sources were successfully embolized; in 12 patients (40%), complete embolization was achieved with coils and 18 patients (60%) with hemostatic sponges. In one case, a second embolization procedure was performed for the persistence of hemodynamic instability. No major post-procedural complications were recorded. The mean procedure duration was 65.1 minutes. Conclusions: Based on our experience and literature data, the treatment of endovascular embolization in acute abdominal bleeding of hepatic and renal origin represents the treatment of choice, as it can provide complete therapeutic success in hemodynamically stable patients. (


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The role of interventional radiology in hepatic and renal hemorrhage embolization: single center experience and literature review. Acta Biomed [Internet]. 2021 Sep. 10 [cited 2024 Jun. 12];92(S5):e2021405. Available from:

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