Splenic function after angioembolization for splenic trauma in children and adults: A systematic review

Injury
J A G SchimmerW P Zuidema

Abstract

Splenic artery embolization (SAE), proximal or distal, is becoming the standard of care for traumatic splenic injury. Theoretically the immunological function of the spleen may be preserved, but this has not yet been proven. A parameter for measuring the remaining splenic function must therefore be determined in order to decide whether or not vaccinations and/or antibiotic prophylaxis are necessary to prevent an overwhelming post-splenectomy infection (OPSI). A systematic review of the literature was performed July 2015 by searching the Embase and Medline databases. Articles were eligible if they described at least two trauma patients and the subject was splenic function. Description of procedure and/or success rate of SAE was not necessary for inclusion. Two reviewers independently assessed the eligibility and the quality of the articles and performed the data extraction. Twelve studies were included, eleven with adult patients and one focusing on children. All studies used different parameters to assess splenic function. None of them reported a OPSI after splenic embolization. Eleven studies found a preserved splenic function after SAE, in both adults and children. All but one studies on the long term effects of SAE indicate ...Continue Reading

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Citations

Nov 8, 2016·The American Journal of Medicine·Brian K Yorkgitis
May 2, 2017·The Journal of Trauma and Acute Care Surgery·Alberto AiolfiDemetrios Demetriades
Oct 11, 2017·Current Opinion in Critical Care·Christine GaarderPål A Næss
Nov 30, 2018·Annals of the Royal College of Surgeons of England·F J Tejero-PintorD Pacheco-Sánchez
Sep 17, 2020·JAMA Surgery·Fabio CascianiCharles M Vollmer
Feb 13, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Roy SpijkermanIvar G J M de Bruin
May 13, 2017·Surgical Infections·Brandon DionneThomas R Howdieshell
Aug 23, 2017·World Journal of Emergency Surgery : WJES·Federico CoccoliniLuca Ansaloni
Feb 29, 2020·The Journal of Trauma and Acute Care Surgery·Alessia C CiociRishi Rattan
Jan 15, 2021·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Yumi MitsuyamaTakeshi Shimazu
Jan 18, 2020·Journal of Vascular and Interventional Radiology : JVIR·Siddharth A PadiaSue E Hanks
Apr 25, 2021·The Journal of Surgical Research·D'Arcy MarshRandeep S Jawa
Apr 20, 2021·Journal of the Belgian Society of Radiology·Johannes DevosGeert Maleux
Apr 23, 2021·Seminars in Interventional Radiology·Ali KordCharles E Ray
May 13, 2021·Revista do Colégio Brasileiro de Cirurgiões·José Donizeti Meira JúniorEdivaldo Massazo Utiyama
May 15, 2021·Journal of Vascular and Interventional Radiology : JVIR·Makoto AokiKiyohiro Oshima

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