Embolization of the Splenic Artery in Traumatic Splenic Injury

2016 ◽  
pp. 417-421
Author(s):  
Bedros Taslakian ◽  
Sela Batouzian
Keyword(s):  
Splenic Artery ◽  
Splenic Injury

scholarly journals Splenic Artery Embolization for Patients with High-Grade Splenic Trauma: Indications, Techniques, and Clinical Outcomes

2021 ◽  
Vol 38 (01) ◽  
pp. 105-112
Author(s):  
Majd Habash ◽  
Darrel Ceballos ◽  
Andrew J. Gunn
Keyword(s):  
Clinical Outcomes ◽  
Splenic Artery ◽  
Splenic Injury ◽  
Nonoperative Management ◽  
Operative Management ◽  
Splenic Trauma ◽  
Trauma Patients ◽  
High Grade ◽  
Artery Embolization ◽  
Splenic Artery Embolization

AbstractThe spleen is the most commonly injured organ in blunt abdominal trauma. Patients who are hemodynamically unstable due to splenic trauma undergo definitive operative management. Interventional radiology plays an important role in the multidisciplinary management of the hemodynamically stable trauma patient with splenic injury. Hemodynamically stable patients selected for nonoperative management have improved clinical outcomes when splenic artery embolization is utilized. The purpose of this article is to review the indications, technical aspects, and clinical outcomes of splenic artery embolization for patients with high-grade splenic injuries.

scholarly journals Cost Utility of Splenic Artery Angioembolization for High-Grade Splenic Injury

2021 ◽  
Vol 89 (9) ◽  
pp. 2109-2115
Author(s):  
HAMADA R. ABDELKADER, M.D.; ABDELAZIZ A. ABDELHAFEZ, M.D. ◽  
AHMED M. ELBASIOUNY, M.D.
Keyword(s):  
Splenic Artery ◽  
Splenic Injury ◽  
Cost Utility ◽  
High Grade

scholarly journals Splenic artery embolisation in the non-operative management of blunt splenic trauma in adults

2016 ◽  
Vol 20 (1) ◽  
Author(s):  
Richard J. Cormack ◽  
Mollie C.M. Ferris ◽  
Jason K. Wong ◽  
Stefan Przybojewski
Keyword(s):  
Blunt Trauma ◽  
Vascular Injury ◽  
Splenic Artery ◽  
Splenic Injury ◽  
Operative Management ◽  
Trauma Centre ◽  
Splenic Trauma ◽  
Non Operative Management ◽  
Splenic Salvage ◽  
Salvage Rate

Background: The purpose of this study was to evaluate the splenic salvage rate with angioembolisation in the non-operative management (NOM) of blunt splenic injury.Methods: We conducted a retrospective analysis of patients presenting to our Level I trauma centre with computed tomography (CT)-confirmed splenic injury following blunt trauma and in whom angioembolisation was utilised in the algorithm of NOM. Data review included CT and angiography findings, embolisation technique and patient outcomes.Results: Between January 2005 and April 2010, 60 patients with splenic injury following blunt trauma underwent NOM, which included splenic artery embolisation (SAE). All patients included in the study required a preadmission. CT scan was used to document the American Association for the Surgery of Trauma (AAST) grade of splenic injury. The average injury grade was 3.0. The non-operative splenic salvage rate following SAE was 96.7% with statistically similar salvage rates achieved for grades II to IV injuries. The quantity of haemoperitoneum and the presence of a splenic vascular injury did not significantly affect the splenic salvage rate. The overall complication rate was 27%, of which 15% were minor and 13% were major.Conclusion: SAE is a safe and effective treatment strategy in the NOM of blunt splenic injury. The quantity of haemoperitoneum, the presence of vascular injury and embolisation technique did not significantly affect the splenic salvage rate.

scholarly journals Impact of Splenic Artery Embolization on the Success Rate of Nonoperative Management for Blunt Splenic Injury

2011 ◽  
Vol 35 (1) ◽  
pp. 76-81 ◽  
Author(s):  
C. H. van der Vlies ◽  
J. Hoekstra ◽  
K. J. Ponsen ◽  
J. A. Reekers ◽  
O. M. van Delden ◽  
...  
Keyword(s):  
Success Rate ◽  
Splenic Artery ◽  
Splenic Injury ◽  
Nonoperative Management ◽  
Artery Embolization ◽  
Splenic Artery Embolization ◽  
Blunt Splenic Injury

scholarly journals Predictors of splenic artery embolization as an adjunct to non-operative management of stable blunt splenic injury: a multi-institutional study

2019 ◽  
Vol 4 (1) ◽  
pp. e000323 ◽  
Author(s):  
Kristin Salottolo ◽  
Matthew M Carrick ◽  
Robert M Madayag ◽  
James Yon ◽  
Allen Tanner ◽  
...  
Keyword(s):  
Splenic Artery ◽  
Splenic Injury ◽  
Motor Vehicle ◽  
Multivariate Logistic Regression Analysis ◽  
Operative Management ◽  
Artery Embolization ◽  
Splenic Artery Embolization ◽  
Radiographic Findings ◽  
Blunt Splenic Injury ◽  
Non Operative Management

BackgroundWe sought to identify predictors of splenic artery embolization (SAE) over observation for hemodynamically stable patients with blunt splenic injury (BSI), by Organ Injury Scale (OIS) grade.MethodsThis was a multi-institutional retrospective study of all adults (≥18) with BSI who were initially managed non-operatively between 2014 and 2016. Multivariate logistic regression analysis was used to identify predictors of SAE by OIS grade. Covariates included radiographic characteristics (presence/quantity of hemoperitoneum, blush, vascular injury), demographics (age, sex, cause), Injury Severity Score, vital signs, and hemoglobin values. We also examined outcomes of death, length of stay (LOS), intensive care unit (ICU) admission, blood products, and failed non-operative management (NOM).ResultsAmong 422 patients with stable BSI, 93 (22%) had SAE and 329 (78%) were observed. The rate of SAE increased by grade (p<0.001). In grade I and II BSI, 7% had SAE; significant predictors of SAE were blush (OR: 5.9, p=0.02), moderate or large hemoperitoneum (OR: 3.0, p=0.01), and male sex (OR: 6.3, p=0.05). In grade III BSI, 26% had SAE; significant predictors included moderate or large hemoperitoneum (OR: 3.9, p=0.04), motor vehicle crash (OR: 6.1, p=0.005), and age (OR=1.4, 40% with each decade increase in age, p=0.02). The rate of SAE was 52% for grade IV and 85% for grade V BSI; there were no independent predictors of SAE in either grade. Clinical outcomes were comparable by NOM strategy and grade, except longer LOS with SAE in grades I–III (p<0.05) and longer ICU LOS with SAE in grades I–IV (p<0.05). Only 5 (1.2%) patients failed NOM (4 observation, 1 SAE).ConclusionThese results strongly support SAE consideration for patients with stable grade IV and V BSI even if there are no other high-risk clinical or radiographic findings. For grades I–III, the identified predictors may help refine consideration for SAE.Level of evidenceLevel III, retrospective epidemiological study.

Proximal Splenic Artery Embolization for Blunt Splenic Injury: Clinical, Immunologic, and Ultrasound-Doppler Follow-Up

2007 ◽  
Vol 62 (6) ◽  
pp. 1481-1486 ◽  
Author(s):  
Bertrand Bessoud ◽  
Michel A. Duchosal ◽  
Claire-Anne Siegrist ◽  
Susanna Schlegel ◽  
Francesco Doenz ◽  
...  
Keyword(s):  
Splenic Artery ◽  
Splenic Injury ◽  
Artery Embolization ◽  
Splenic Artery Embolization ◽  
Blunt Splenic Injury ◽  
Ultrasound Doppler
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