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CardioVascular and Interventional Radiology

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Open Access 01-02-2012 | Clinical Investigation

Impact of Splenic Artery Embolization on the Success Rate of Nonoperative Management for Blunt Splenic Injury

Authors: C. H. van der Vlies, J. Hoekstra, K. J. Ponsen, J. A. Reekers, O. M. van Delden, J. C. Goslings

Published in: CardioVascular and Interventional Radiology | Issue 1/2012

Abstract

Introduction

Nonoperative management (NOM) has become the treatment of choice for hemodynamically stable patients with blunt splenic injury. Results of outcome after NOM are predominantly based on large-volume studies from level 1 trauma centers in the United States. This study was designed to assess the results of NOM in a relatively low-volume Dutch level 1 trauma center.

Methods

An analysis of a prospective trauma registry was performed for a 6-year period before (period 1) and after the introduction and implementation of splenic artery embolization (SAE) (period 2). Primary outcome was the failure rate of initial treatment.

Results

A total of 151 patients were reviewed. An increased use of SAE and a reduction of splenic operations during the second period was observed. Compared with period 1, the failure rate after observation in period 2 decreased from 25% to 10%. The failure rate after SAE in period 2 was 18%. The splenic salvage rate (SSR) after observation increased from 79% in the first period to 100% in the second period. During the second period, all patients with failure after observation were successfully treated with SAE. The SSR after SAE in periods 1 and 2 was respectively 100% and 86%.

Conclusions

SAE of patients with blunt splenic injuries is associated with a reduction in splenic operations. The failure and splenic salvage rates in this current study were comparable with the results from large-volume studies of level 1 trauma centers. Nonoperative management also is feasible in a relatively low-volume level 1 trauma center outside the United States.

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Title: Impact of Splenic Artery Embolization on the Success Rate of Nonoperative Management for Blunt Splenic Injury
Authors: C. H. van der Vlies
J. Hoekstra
K. J. Ponsen
J. A. Reekers
O. M. van Delden
J. C. Goslings
Publication date: 01-02-2012
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 1/2012
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-011-0132-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of Splenic Artery Embolization on the Success Rate of Nonoperative Management for Blunt Splenic Injury

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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