Literature review of non-operative management of patients with blunt splenic injury: impact of splenic artery embolization

Krystyn Sosada; Maciej Wiewióra; Jerzy Piecuch

doi:10.5114/wiitm.2014.44251

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abstract:

Review paper

Literature review of non-operative management of patients with blunt splenic injury: impact of splenic artery embolization

Krystyn Sosada

,

Maciej Wiewióra

,

Jerzy Piecuch

Videosurgery Miniinv 2014; 9 (3): 309–314

DOI: https://doi.org/10.5114/wiitm.2014.44251

Online publish date: 2014/07/23

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Splenic injuries constitute the most common injuries accompanying blunt abdominal traumas. Non-operative treatment is currently the standard for treating hemodynamically stable patients with blunt splenic injuries. The introduction of splenic angiography has increased the possibility of non-operative treatment for patients who, in the past, would have qualified for surgery. This cohort includes mainly patients with severe splenic injuries and with active bleeding. The results have indicated that applying splenic angioembolization reduces the frequency of non-operative treatment failure, especially in severe splenic injuries; however, it is still necessary to perform prospective, randomized clinical investigations.

keywords:

Literature review of non-operative management of patients with blunt splenic injury: impact of splenic artery embolization

Krystyn Sosada , Maciej Wiewióra , Jerzy Piecuch

splenic injuries, angiography, angioembolization

Krystyn Sosada

,

Maciej Wiewióra

,

Jerzy Piecuch