Review of proximal splenic artery embolization in blunt abdominal trauma
Abstract The spleen is the most commonly injured organ in blunt abdominal trauma. Unstable patients undergo laparotomy and splenectomy. Stable patients with lower grade injuries are treated conservatively; those stable patients with moderate to severe splenic injuries (grade III-V) benefit from endo...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2019-03-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s42155-019-0055-3 |
| _version_ | 1818291882231332864 |
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| author | Keith Bertram Quencer Tyler Andrew Smith |
| author_facet | Keith Bertram Quencer Tyler Andrew Smith |
| author_sort | Keith Bertram Quencer |
| collection | DOAJ |
| description | Abstract The spleen is the most commonly injured organ in blunt abdominal trauma. Unstable patients undergo laparotomy and splenectomy. Stable patients with lower grade injuries are treated conservatively; those stable patients with moderate to severe splenic injuries (grade III-V) benefit from endovascular splenic artery embolization. Two widely used embolization approaches are proximal and distal splenic artery embolization. Proximal splenic artery embolization decreases the perfusion pressure in the spleen but allows for viability of the spleen to be maintained via collateral pathways. Distal embolization can be used in cases of focal injury. In this article we review relevant literature on splenic embolization indication, and technique, comparing and contrasting proximal and distal embolization. Additionally, we review relevant anatomy and discuss collateral perfusion pathways following proximal embolization. Finally, we review potential complications of splenic artery embolization. |
| first_indexed | 2024-12-13T02:51:07Z |
| format | Article |
| id | doaj.art-2b229c8f33ef4f5080da884bbd3f3173 |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-12-13T02:51:07Z |
| publishDate | 2019-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-2b229c8f33ef4f5080da884bbd3f31732022-12-22T00:02:04ZengSpringerOpenCVIR Endovascular2520-89342019-03-012111210.1186/s42155-019-0055-3Review of proximal splenic artery embolization in blunt abdominal traumaKeith Bertram Quencer0Tyler Andrew Smith1Division of Interventional Radiology, University of Utah Department of RadiologyDivision of Interventional Radiology, University of Utah Department of RadiologyAbstract The spleen is the most commonly injured organ in blunt abdominal trauma. Unstable patients undergo laparotomy and splenectomy. Stable patients with lower grade injuries are treated conservatively; those stable patients with moderate to severe splenic injuries (grade III-V) benefit from endovascular splenic artery embolization. Two widely used embolization approaches are proximal and distal splenic artery embolization. Proximal splenic artery embolization decreases the perfusion pressure in the spleen but allows for viability of the spleen to be maintained via collateral pathways. Distal embolization can be used in cases of focal injury. In this article we review relevant literature on splenic embolization indication, and technique, comparing and contrasting proximal and distal embolization. Additionally, we review relevant anatomy and discuss collateral perfusion pathways following proximal embolization. Finally, we review potential complications of splenic artery embolization.http://link.springer.com/article/10.1186/s42155-019-0055-3Splenic embolizationBlunt abdominal traumaProximal splenic embolizationSplenic salvageSplenic anatomy |
| spellingShingle | Keith Bertram Quencer Tyler Andrew Smith Review of proximal splenic artery embolization in blunt abdominal trauma CVIR Endovascular Splenic embolization Blunt abdominal trauma Proximal splenic embolization Splenic salvage Splenic anatomy |
| title | Review of proximal splenic artery embolization in blunt abdominal trauma |
| title_full | Review of proximal splenic artery embolization in blunt abdominal trauma |
| title_fullStr | Review of proximal splenic artery embolization in blunt abdominal trauma |
| title_full_unstemmed | Review of proximal splenic artery embolization in blunt abdominal trauma |
| title_short | Review of proximal splenic artery embolization in blunt abdominal trauma |
| title_sort | review of proximal splenic artery embolization in blunt abdominal trauma |
| topic | Splenic embolization Blunt abdominal trauma Proximal splenic embolization Splenic salvage Splenic anatomy |
| url | http://link.springer.com/article/10.1186/s42155-019-0055-3 |
| work_keys_str_mv | AT keithbertramquencer reviewofproximalsplenicarteryembolizationinbluntabdominaltrauma AT tylerandrewsmith reviewofproximalsplenicarteryembolizationinbluntabdominaltrauma |