Publications by authors named "M Crigger"
Introduction: Hepatic angioembolization is highly effective for hemorrhage control in hemodynamically stable patients with traumatic liver injuries and contrast extravasation. However, there is a paucity of data regarding the specific location of angioembolization within the hepatic arterial vasculature and its implications on patient outcomes.
Methods: A post-hoc analysis of a multicenter prospective observational study across 23 centers was performed.
Background: Prior studies evaluating observation versus angioembolization (AE) for blunt liver injuries (BLT) with contrast extravasation (CE) on computed tomography imaging have yielded inconsistent conclusions, primarily due to limitations in single-center and/or retrospective study design. Therefore, this multicenter study aims to compare an observation versus AE-first approach for BLT, hypothesizing decreased liver-related complications (LRCs) with observation.
Methods: We conducted a post hoc analysis of a multicenter, prospective observational study (2019-2021) across 23 centers.
Article Synopsis
- High-grade liver injuries with extravasation (HGLI + Extrav) carry significant risks, and the study evaluated whether an observation-first strategy (OBS) is safe compared to initial angiography (IR).
- Of 59 patients, 39% were treated with OBS and 61% with IR, with patients initially managed by IR experiencing a higher rate of surgery (13.9% vs. 0%).
- Despite the increased rate of operations for IR patients, there were no significant differences in liver-related complications or mortality, indicating that OBS may be a suitable approach for selectively managing HGLI + Extrav patients.
Introduction: The management of liver injuries in hemodynamically stable patients is variable and includes primary treatment strategies of observation (OBS), angiography (interventional radiology [IR]) with angioembolization (AE), or operative intervention (OR). We aimed to evaluate the management of patients with liver injuries with active extravasation on computed tomography (CT) imaging, hypothesizing that AE will have more complications without improving outcomes compared with OBS.
Methods: This is a prospective, multicenter, observational study.
Background And Objectives: Accurately assessing breast volume (BV) relative to the volume of breast tissue to be removed could help objectively determine the optimal surgical candidates for breast conserving surgery. The objective of this study was to determine the optimal mammography-based method of BV estimation.
Methods: Mammography data was obtained for patients who underwent mastectomy for breast cancer from 2005 to 2015.