Proximal splenic embolisation versus distal splenic embolisation for management of focal distal arterial injuries of the spleen.
J Med Imaging Radiat Oncol
; 65(7): 869-874, 2021 Dec.
Article
in En
| MEDLINE
| ID: mdl-34142762
ABSTRACT
INTRODUCTION:
To compare the outcomes of proximal (pSAE) versus distal (dSAE) splenic artery embolisation for management of focal distal arterial splenic injuries secondary to blunt splenic trauma.METHOD:
Ethical approval was granted by the hospital research and ethics committee, Project 389/19. All patients who underwent splenic artery embolisation secondary to blunt abdominal trauma from 1 January 2009 to 1 January 2019 were reviewed. Patients with a tandem embolisation (both proximal and distal embolisations) or those with no acute vascular injury on angiography were excluded. Patient demographics, injury type/ AAST grade (2018 classification), technique of embolisation and outcomes were collected. Complications and splenectomy rates up to 30 days were recorded.RESULTS:
136 out of 232 patients had an embolisation performed for a distal vascular injury including active arterial bleeding, pseudoaneurysm or arteriovenous fistula. Mean age was 41 (range 16-84). Mean AAST grade was 4 (range 3-5). Mean Injury Severity Score was 22. pSAE was performed in 79.4% (n = 108) and dSAE in 20.6% (n = 28). Major complications occurred in 12 patients (pSAE n = 12, 11.1%; dSAE n = 0, P > 0.05); 6 pSAE required splenectomy (n = 6, 5.6%). There was no significant difference in outcomes between the two groups or when based on AAST grading.CONCLUSION:
No significant difference was observed between proximal and distal embolisation techniques for blunt trauma patients with a distal vascular injury in terms of technical and clinical success.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Embolization, Therapeutic
/
Vascular System Injuries
/
Abdominal Injuries
Type of study:
Observational_studies
Aspects:
Ethics
Limits:
Adult
/
Humans
Language:
En
Journal:
J Med Imaging Radiat Oncol
Journal subject:
DIAGNOSTICO POR IMAGEM
/
NEOPLASIAS
/
RADIOLOGIA
Year:
2021
Document type:
Article
Affiliation country:
Australia