Angioembolization in penetrating liver trauma achieves survival rates comparable to surgical intervention.
Compared to surgery, angioembolization is associated with significantly longer hospital, intensive care unit (ICU) stays, and prolonged ventilator dependency.
Lower systolic blood pressure on admission, higher abdominal injury severity, and increased transfusion requirements predict need for adjunctive angioembolization post-surgery.
Early risk stratification may optimize the combined use of surgery and angioembolization to improve outcomes.