Journal article
Negative Splenic Angiography in Blunt Trauma: Does Embolization Affect Splenic Salvage?
The American surgeon, Vol.89(7), pp.3209-3211
01 Jul 2023
PMID: 36794385
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Angioembolization in blunt splenic trauma is used to maximize splenic preservation. Superiority of prophylactic embolization over expectant management in patients with a negative splenic angiography (SA) is debated. We hypothesized that embolization in negative SA would be associated with splenic salvage. Of 83 patients undergoing SA, 30 (36%) had a negative SA. Embolization was performed in 23 (77%). Grade of injury, contrast extravasation (CE) on computed tomography (CT) or embolization were not associated with splenectomy. In 20 patients with either a high-grade injury or CE on CT, 17 (85%) underwent embolization with a failure rate of 24%. In the remaining 10 without high-risk features, 6 underwent embolization with a 0% splenectomy rate. Despite embolization, the failure rate of nonoperative management (NOM) remains significant in those with high-grade injury or CE on CT. A low threshold for early splenectomy after prophylactic embolization is needed.
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Details
- Title
- Negative Splenic Angiography in Blunt Trauma: Does Embolization Affect Splenic Salvage?
- Creators
- Rachel Yoo - Reading HospitalDavin Evanson - Drexel University, College of MedicineMichael Gaziano - Drexel UniversityAlison Muller - Reading HospitalAnthony Martin - Reading HospitalNikunj Chauhan - Tower Hlth Syst, Reading, PA USAChristopher A. Butts - Reading HospitalVicente Cortes - Reading HospitalEugene F. Reilly - Reading HospitalPeter K. Bamberger - Reading HospitalThomas Geng - Reading HospitalAdrian Ong - Reading Hospital
- Publication Details
- The American surgeon, Vol.89(7), pp.3209-3211
- Publisher
- Sage
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000937385300001
- Scopus ID
- 2-s2.0-85166362732
- Other Identifier
- 991021860725504721
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- Web of Science research areas
- Surgery