Emergent transcatheter arterial embolization in hemodynamically unstable patients with blunt splenic injury

Academic Radiology
Wei-Ching LinJeon-Hor Chen

Abstract

Splenic preservation is currently the trend for treatment of patients with splenic trauma to avoid complications of splenectomy. This study aimed to evaluate the feasibility of emergent transcatheter arterial embolization (TAE) for hemodynamically unstable patients with blunt splenic injury. In a period of 2 years, 65 patients of blunt splenic trauma were studied. Patients with initial systolic blood pressure < 90 mmHg and showed initial response including rapid response and transient response to the emergent fluid resuscitation were included. Angiography and TAE was undertaken if contrast medium extravasation or pseudoaneurysm formation was noted in the computed tomography (CT) images, according to the criteria of American Association for the Surgery of Trauma. All patients who underwent TAE were admitted for observation of the possibility of delayed rupture. Thirteen hemodynamically unstable patients who were responsive to initial fluid resuscitation received angiography due to abnormal CT findings including contrast agent extravasation in 12 patients, 2 patients with arteriovenous fistula, and 8 patients with pseudoaneurysm formation. TAE was successfully performed in all of these 13 patients, including 2 patients with assoc...Continue Reading

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Citations

Mar 10, 2009·Cardiovascular and Interventional Radiology·Steven J KrohmerKenneth W Burchard
Aug 12, 2009·The Journal of Trauma·Junya MorozumiTetsuo Yukioka
Jul 29, 2011·International Journal of Emergency Medicine·Cornelis H van der VliesJ Carel Goslings
May 5, 2010·Journal of Pediatric Surgery·Dafydd A DaviesPaul W Wales
Jul 20, 2016·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Hiroto KitaharaMinoru Ono
May 2, 2017·The Journal of Trauma and Acute Care Surgery·Alberto AiolfiDemetrios Demetriades
Dec 21, 2017·The Journal of Trauma and Acute Care Surgery·Stefania CimbanassiFabrizio Sammartano
Dec 3, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·S A I LoggersW P Zuidema

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