| Unique ID issued by UMIN | UMIN000060392 |
|---|---|
| Receipt number | R000065688 |
| Scientific Title | A systematic review of the efficacy of angiography for adult hemodynamically stable liver injury who had blush or pseudoaneurysm on enhanced CT |
| Date of disclosure of the study information | 2026/01/17 |
| Last modified on | 2026/01/17 20:58:57 |
A systematic review of the efficacy of angiography for adult hemodynamically stable liver injury who had blush or pseudoaneurysm on enhanced CT
The efficacy of angiography for adult hemodynamically stable liver injury who had blush or pseudoaneurysm on enhanced CT
A systematic review of the efficacy of angiography for adult hemodynamically stable liver injury who had blush or pseudoaneurysm on enhanced CT
The efficacy of angiography for adult hemodynamically stable liver injury who had blush or pseudoaneurysm on enhanced CT
| Japan |
trauma
| Surgery in general | Radiology | Operative medicine |
| Emergency medicine | Blood transfusion | Intensive care medicine |
| Adult |
Others
NO
For adult blunt liver injuries, the presence of contrast extravasation and/or pseudoaneurysm on contrast-enhanced CT at initial evaluation is considered an indication for transcatheter arterial embolization (TAE) (Japanese Guidelines for IVR in Hepatic Trauma 2016, recommendation grade C1). In particular, TAE is recommended for patients who are hemodynamically stable and do not show clinical signs of hemorrhagic shock (recommendation grade B). However, recent reports have suggested that even when extravasation or pseudoaneurysm is detected on initial contrast-enhanced CT, conservative management without angiography may achieve similar success rates in hemodynamically stable patients, and may even reduce complication rates associated with angiography and embolization. In Japan, based on the above-mentioned guidelines, angiography is frequently performed when extravasation or pseudoaneurysm is observed on contrast-enhanced CT, but we identified this issue as a research question to re-evaluate its potential benefits and harms.
Safety,Efficacy
Mortality (30-day, in-hospital)
Complication, NOM failure, TAE, hospital length of stay
Others,meta-analysis etc
| 18 | years-old | <= |
| Not applicable |
Male and Female
Hemodynamically stable liver injury with contrast extravasation on enhanced computed tomography
Initial hemodynamic instability
| 1st name | Makoto |
| Middle name | |
| Last name | Aoki |
National Defense Medical College Research Institute
Division of Traumatologt
3598513
3-2, Namiki, Tokorozawa, Saitama
0429951633
aokimakoto@ndmc.ac.jp
| 1st name | Makoto |
| Middle name | |
| Last name | Aoki |
National Defense Medical College Research Institute
Division of Traumatology
3598513
3-2 Namiki Tokorozawa
0429951633
aokimakoto@ndmc.ac.jp
Japanese Association for the Surgery of Trauma
Japanese Association for the Surgery of Trauma
Other
Japan
National Defense Medical College Research Institute
3-2 Namiki Tokorozawa
0429951633
aokimakoto@ndmc.ac.jp
NO
| 2026 | Year | 01 | Month | 17 | Day |
Unpublished
Preinitiation
| 2025 | Year | 02 | Month | 12 | Day |
| 2025 | Year | 03 | Month | 29 | Day |
| 2026 | Year | 12 | Month | 31 | Day |
The Japanese Association for the Surgery of Trauma, Systematic Review and Meta analysis
| 2026 | Year | 01 | Month | 17 | Day |
| 2026 | Year | 01 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065688