Evaluation of splenic artery embolization technique for blunt trauma
Introduction: Evaluate outcomes and radiation exposure across different splenic artery embolization (SAE) techniques for splenic injuries secondary to blunt trauma. Methods: This retrospective cohort study included patients 18 years of age or older who underwent SAE for splenic injury after blunt tr...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
| Series: | Journal of Emergencies, Trauma and Shock |
| Subjects: | |
| Online Access: | http://www.onlinejets.org/article.asp?issn=0974-2700;year=2021;volume=14;issue=3;spage=148;epage=152;aulast=Brahmbhatt |
| _version_ | 1818893092828217344 |
|---|---|
| author | Akshaar N Brahmbhatt Bishoy Ghobryal Patrick Wang Shahzaib Chughtai Nana Ohene Baah |
| author_facet | Akshaar N Brahmbhatt Bishoy Ghobryal Patrick Wang Shahzaib Chughtai Nana Ohene Baah |
| author_sort | Akshaar N Brahmbhatt |
| collection | DOAJ |
| description | Introduction: Evaluate outcomes and radiation exposure across different splenic artery embolization (SAE) techniques for splenic injuries secondary to blunt trauma. Methods: This retrospective cohort study included patients 18 years of age or older who underwent SAE for splenic injury after blunt trauma from January 2011 to June 2019. Results: Sixty patients underwent angiography for splenic injury after blunt traumatic injury. Forty-four patients were embolized. Seventeen patients underwent proximal SAE, and 23 underwent distal SAE. Four patients had a combination of proximal and distal SAE. Eleven patients had subsequent major complications requiring splenectomy. There was no significant difference in major complication rate when comparing proximal SAE 29.4% versus distal SAE 21.7%. No significant difference was noted across the two groups with respect to age or grade of injury. There was a statistically significant difference (P = 0.004) in fluoroscopy time between the proximal 10.1 ± 4.2 min and distal group 17.8 ± 8.7 min. No statically significant difference was found in major complications when comparing coil versus gel foam embolization. Conclusion: Proximal SAE is associated with a significantly lower fluoroscopy time (P = 0.004). Complication rates are similar after proximal and distal SAE. No significant difference was found in major complication rates comparing coil versus gel foam embolization. Minor complications more commonly occurred after proximal embolization with gel-foam. |
| first_indexed | 2024-12-19T18:07:06Z |
| format | Article |
| id | doaj.art-ef839c022bcc47c1a092f74c45a7ff9a |
| institution | Directory Open Access Journal |
| issn | 0974-2700 |
| language | English |
| last_indexed | 2024-12-19T18:07:06Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Emergencies, Trauma and Shock |
| spelling | doaj.art-ef839c022bcc47c1a092f74c45a7ff9a2022-12-21T20:11:26ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27002021-01-0114314815210.4103/JETS.JETS_64_20Evaluation of splenic artery embolization technique for blunt traumaAkshaar N BrahmbhattBishoy GhobryalPatrick WangShahzaib ChughtaiNana Ohene BaahIntroduction: Evaluate outcomes and radiation exposure across different splenic artery embolization (SAE) techniques for splenic injuries secondary to blunt trauma. Methods: This retrospective cohort study included patients 18 years of age or older who underwent SAE for splenic injury after blunt trauma from January 2011 to June 2019. Results: Sixty patients underwent angiography for splenic injury after blunt traumatic injury. Forty-four patients were embolized. Seventeen patients underwent proximal SAE, and 23 underwent distal SAE. Four patients had a combination of proximal and distal SAE. Eleven patients had subsequent major complications requiring splenectomy. There was no significant difference in major complication rate when comparing proximal SAE 29.4% versus distal SAE 21.7%. No significant difference was noted across the two groups with respect to age or grade of injury. There was a statistically significant difference (P = 0.004) in fluoroscopy time between the proximal 10.1 ± 4.2 min and distal group 17.8 ± 8.7 min. No statically significant difference was found in major complications when comparing coil versus gel foam embolization. Conclusion: Proximal SAE is associated with a significantly lower fluoroscopy time (P = 0.004). Complication rates are similar after proximal and distal SAE. No significant difference was found in major complication rates comparing coil versus gel foam embolization. Minor complications more commonly occurred after proximal embolization with gel-foam.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2021;volume=14;issue=3;spage=148;epage=152;aulast=Brahmbhattsplenic artery embolizationsplenic lacerationsplenic trauma |
| spellingShingle | Akshaar N Brahmbhatt Bishoy Ghobryal Patrick Wang Shahzaib Chughtai Nana Ohene Baah Evaluation of splenic artery embolization technique for blunt trauma Journal of Emergencies, Trauma and Shock splenic artery embolization splenic laceration splenic trauma |
| title | Evaluation of splenic artery embolization technique for blunt trauma |
| title_full | Evaluation of splenic artery embolization technique for blunt trauma |
| title_fullStr | Evaluation of splenic artery embolization technique for blunt trauma |
| title_full_unstemmed | Evaluation of splenic artery embolization technique for blunt trauma |
| title_short | Evaluation of splenic artery embolization technique for blunt trauma |
| title_sort | evaluation of splenic artery embolization technique for blunt trauma |
| topic | splenic artery embolization splenic laceration splenic trauma |
| url | http://www.onlinejets.org/article.asp?issn=0974-2700;year=2021;volume=14;issue=3;spage=148;epage=152;aulast=Brahmbhatt |
| work_keys_str_mv | AT akshaarnbrahmbhatt evaluationofsplenicarteryembolizationtechniqueforblunttrauma AT bishoyghobryal evaluationofsplenicarteryembolizationtechniqueforblunttrauma AT patrickwang evaluationofsplenicarteryembolizationtechniqueforblunttrauma AT shahzaibchughtai evaluationofsplenicarteryembolizationtechniqueforblunttrauma AT nanaohenebaah evaluationofsplenicarteryembolizationtechniqueforblunttrauma |