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CardioVascular and Interventional Radiology

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Open Access 01-12-2010 | Review/State of the Art

Literature Review of the Role of Ultrasound, Computed Tomography, and Transcatheter Arterial Embolization for the Treatment of Traumatic Splenic Injuries

Authors: Cornelis H. van der Vlies, Otto M. van Delden, Bastiaan J. Punt, Kees J. Ponsen, Jim A. Reekers, J. Carel Goslings

Published in: CardioVascular and Interventional Radiology | Issue 6/2010

Abstract

Introduction

The spleen is the second most frequently injured organ following blunt abdominal trauma. Trends in management have changed over the years. Traditionally, laparotomy and splenectomy was the standard management. Presently, nonoperative management (NOM) of splenic injury is the most common management strategy in hemodynamically stable patients. Splenic injuries can be managed via simple observation (OBS) or with angiography and embolization (AE). Angio-embolization has shown to be a valuable alternative to observational management and has increased the success rate of nonoperative management in many series.

Diagnostics

Improved imaging techniques and advances in interventional radiology have led to a better selection of patients who are amenable to nonoperative management. Despite this, there is still a lot of debate about which patients are prone to NOM.

Angiography and Embolization

The optimal patient selection is still a matter of debate and the role of CT and angio-embolization has not yet fully evolved. We discuss the role of sonography and CT features, such as contrast extravasation, pseudoaneurysms, arteriovenous fistulas, or hemoperitoneum, to determine the optimal patient selection for angiography and embolization. We also review the efficiency, technical considerations (proximal or selective embolization), logistics, and complication rates of AE for blunt traumatic splenic injuries.

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Title: Literature Review of the Role of Ultrasound, Computed Tomography, and Transcatheter Arterial Embolization for the Treatment of Traumatic Splenic Injuries
Authors: Cornelis H. van der Vlies
Otto M. van Delden
Bastiaan J. Punt
Kees J. Ponsen
Jim A. Reekers
J. Carel Goslings
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 6/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-010-9943-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Literature Review of the Role of Ultrasound, Computed Tomography, and Transcatheter Arterial Embolization for the Treatment of Traumatic Splenic Injuries

Abstract

Introduction

Diagnostics

Angiography and Embolization

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Diagnostics

Angiography and Embolization

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