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Review
. 2014 Sep;9(3):309-14.
doi: 10.5114/wiitm.2014.44251. Epub 2014 Jul 23.

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

Krystyn Sosada  1 , Maciej Wiewióra  1 , Jerzy Piecuch  1
Affiliations
Review

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

Krystyn Sosada et al. Wideochir Inne Tech Maloinwazyjne. 2014 Sep.

Abstract

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: angioembolization; angiography; splenic injuries.

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