Does Initial Observation vs. Interventional Radiology Impact Management of High-Grade Liver Injuries with Extravasation?

Patients with high-grade liver injuries and contrast extravasation managed initially with observation versus interventional radiology were compared. While interventional radiology patients had a higher rate of operation, there were similar rates of liver-related complications and mortality between the two groups. The results suggest that initial observation may be a reasonable approach for appropriately selected patients with high-grade liver injuries and extravasation.