The Impact of Splenic Artery Embolization on the Management of Splenic Trauma: An 8-year Review
Document Type
Article
Publication Date
3-2009
Abstract
Background
Splenic artery embolization (SAE) is an adjunct to nonoperative management (NOM) of splenic injuries. We reviewed our experience with SAE to identify its impact on splenic operations.
Methods
Patients admitted with splenic injuries over an 8-year period were identified and the initial method of management noted (simple observation, SAE, or splenic surgery). The first 4 years (period 1) during which SAE was introduced was compared with the latter 4 years (period 2) when it was used frequently.
Results
There were 304 patients in period 1 and 416 in period 2. NOM was initial management in 59.9% in period 1% and 60.1% in period 2 (P = 1.0) and failure rates were 5.3% versus 2.9%, respectively (P = .12). More SAE procedures were performed in period 2—13.7% versus 4.9% (P ≤.001)—and there was a reduction in the proportion of splenic operations—35.2% versus 26.2% (P <.01).
Conclusions
SAE is associated with a reduction in splenic operations, although it did not alter the failure rate of NOM.
Repository Citation
Ekeh, A. P.,
Izu, B.,
Ryan, M.,
& McCarthy, M. C.
(2009). The Impact of Splenic Artery Embolization on the Management of Splenic Trauma: An 8-year Review. The American Journal of Surgery, 197 (3), 337-341.
https://corescholar.libraries.wright.edu/surg/20
DOI
10.1016/j.amjsurg.2008.11.017
Comments
This paper was presented at the 50th Annual Meeting held in Mackinac Island, Michigan, August 3-6, 2008.