TITLE

Proximal Splenic Artery Embolization In Blunt Splenic Trauma

AUTHOR(S)
Zmora, Osnat; Kori, Yitzhak; Samuels, David; Kessler, Ada; Schulman, Carl; Klausner, Joseph; Soffer, Dror
PUB. DATE
April 2009
SOURCE
European Journal of Trauma & Emergency Surgery;Apr2009, Vol. 35 Issue 2, p108
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Proximal embolization of the splenic artery (PSAE) has recently been reported for traumatic splenic injury. The suggested mechanism of action entails a decrease in the splenic blood pressure without ischemia due to collateral blood supply. The main complications of selective embolization are continuous bleeding, splenic infarcts and splenic abscesses. The main complications of observation alone are continuous bleeding and formation of splenic pseudoaneurysms. Our aim was to assess the efficacy of PSAE in the cessation of bleeding without formation of pseudoaneurysms, and the outcome of the spleen after such intervention. A prospective observational study of all patients undergoing PSAE for traumatic splenic injury in our institution over a 33-month period. Clinical and Doppler sonographic examinations were performed to assess cessation of bleeding, splenic blood flow, and formation of splenic pseudoaneurysms, infarcts or abscesses. During 33 months, 11 patients with blunt abdominal trauma and tomographic evidence of either high grade or actively bleeding splenic injuries were treated by PSAE. During follow-up, no patient underwent surgery or repeated embolization. Preserved blood flow was found on Doppler sonography in 82% of the patients and no pseudoaneurysms were demonstrated. A perisplenic collection was found in one patient and responded well to percutaneous drainage. Proximal embolization of the splenic artery for severe splenic injury is highly successful in cessation of bleeding while preserving splenic architecture. There were minimal complications in this series demonstrated by clinical and Doppler examinations.
ACCESSION #
38609365

 

Related Articles

  • Tratamento endovascular de hemorragia secundária à lesão da artéria esplênica na pancreatite aguda -- relato de caso. de Tarso Machado, Alexandre; Jayme Procópio, Ricardo; Antônio Cordeiro Neves, Franco; Menezes Santos, Giovanni; Gomes Girundi, Marcelo; Toledo Afonso, Cristina; Pinho Navarro, Tulio // Jornal Vascular Brasileiro;Mar2010, Vol. 9 Issue 1, p61 

    Splenic artery injury is a rare complication related to trauma, iatrogenic injury, and pancreatitis. Hemostasis can be made by identification of the vascular lesion through selective catheterism followed by embolization of the bleeding vessel. We report a case of a patient with biliary...

  • Variantes anatomiques de la veine spermatique lors du traitement endovasculaire des varicocèles gauches : une série pédiatrique. Garel, Laurent; Dubois, Josée; Rypens, Françoise; Ouimet, Alain; Yazbeck, Salam // Canadian Association of Radiologists Journal;Feb2004, Vol. 55 Issue 1, p39 

    Objective: To report on the high incidence of anatomical variants of the origin and course of the internal spermatic vein (ISV) discovered at the time of percutaneous embolization of left varicoceles in a pediatric population. Methods: We reviewed retrospectively the 65 cases of left varicocele...

  • EMBOLIZATION THERAPY FOR LOWER GI BLEED: BENEFIT OR "BOMBS AWAY"? Vingan, Harlan; Johnson, David A.; Cattau Jr., Edward L. // American Journal of Gastroenterology;Sep1993, Vol. 88 Issue 9, p1454 

    To evaluate the efficacy of embolotherapy for treatment of patients with active lower GI bleeding, these authors used the following methodology: 1) selective catheterization technique and peripheral site of embolization; 2) use of a permanent embolic agent (polyvinyl alcohol); 3) objective...

  • Complications During Natural Orifice Translumenal Endoscopic Surgery: Endoscopic Management of Splenic Laceration and Hemorrhage. Fyock, Christopher J.; Kowalczyk, Lukasz M.; Gupte, Anand R.; Forsmark, Christopher E.; Wagh, Mihir S. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Jan/Feb2011, Vol. 21 Issue 1, p39 

    Background: Accidental splenic laceration and hemorrhage during natural orifice translumenal endoscopic surgery (NOTES) can lead to life-threatening consequences. The NOTES approach may need to be aborted in these circumstances for a standard laparoscopy or laparotomy. Aim: To determine the...

  • An unusual cause for shock in dengue fever.  // American Journal of Immunology;2011, Vol. 7 Issue 2, p120 

    No abstract available.

  • A 6-Fr guiding catheter (Slim Guide®) for use with multiple microdevices. Kai, Yutaka; Ohmori, Yuki; Watanabe, Masaki; Kaku, Yasuyuki; Morioka, Motohiro; Hirano, Teruyuki; Yano, Shigetoshi; Kawano, Takayuki; Hamada, Jun-ichiro; Kuratsu, Jun-ichi // Surgical Neurology International;2012, Vol. 3 Issue 1, p334 

    Background: We developed a new 6-Fr guiding catheter (Slim Guide®) that features a large lumen (0.072 inch) for performing advanced techniques as are required in patients with wide-necked aneurysms whose treatment with a single microcatheter is difficult. Methods: The Slim Guide was used to...

  • Transarterial embolization in acute colonic bleeding: review of 11 years of experience and long-term results. Rossetti, Andrea; Buchs, Nicolas; Breguet, Romain; Bucher, Pascal; Terraz, Sylvain; Morel, Philippe // International Journal of Colorectal Disease;Jun2013, Vol. 28 Issue 6, p777 

    Background: Lower gastrointestinal bleeding represents 20 % of all gastrointestinal bleedings. Interventional radiology has transformed the treatment of this pathology, but the long-term outcome after selective embolization has been poorly evaluated. The aim of this study is thus to evaluate the...

  • Duration of Antibiotic Therapy for the Treatment of Shunt Infection: A Surgeon and Patient Survey. Arthur, Adam S.; Whitehead, William E.; Kestle, John R. W. // Pediatric Neurosurgery;May2002, Vol. 36 Issue 5, p256 

    The ideal duration of antibiotic treatment for shunt infection remains a major unanswered question in pediatric neurosurgery. To date, no study has objectively determined the best length of treatment, i.e. that which minimizes both the length of hospital stay and the chance of reinfection. This...

  • Stress, Rage, And Hemoptysis. Petty, Thomas L. // Cortlandt Forum;05/25/2001, Vol. 14 Issue 5, p62 

    Reports on the treatment of a Jordan-based attorney with recurrent episodes of coughing up large amounts of red blood. Results of chest radiography and other examinations; Conclusion that stress and hypertension are factors for the coughing; Findings from a bronchial arteriogram; Hemoptysis...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics