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CardioVascular and Interventional Radiology

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01-02-2016 | Brief Communication

Proximal Embolization of the Splenic Artery with a Penumbra Occlusion Device (POD): A Novel Occlusion Technique for Blunt Splenic Injuries

Authors: F. Petitpierre, A. S. Lasserre, E. Tricaud, Y. Le Bras, V. Dubuisson, N. Grenier, F. Cornelis

Published in: CardioVascular and Interventional Radiology | Issue 2/2016

Excerpt

Splenic injury can occur after blunt abdominal trauma. Subsequent splenic bleeding may be life-threatening [1]. Splenic injury should be managed and radiologically graded according to the American Association for the Surgery of Trauma (AAST) recommendations for management of splenic trauma [2]. In general, grades of up to III and IV should usually be treated with distal and/or proximal artery splenic embolization (SAE) or surgical treatment, whereas grades I and II should be treated with non-operative management, although there is no definite consensus [1]. …

Miller PR, Chang MC, Hoth JJ, et al. Prospective trial of angiography and embolization for all grade III to V blunt splenic injuries: nonoperative management success rate is significantly improved. J Am Coll Surg. 2014;218(4):644–8.CrossRefPubMed

Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA. Champion HR Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995;38(3):323–4.CrossRefPubMed

Schnuriger B, Inaba K, Konstantinidis A, Lustenberger T, Chan LS. Demetriades D outcomes of proximal versus distal splenic artery embolization after trauma: a systematic review and meta-analysis. J Trauma. 2011;70(1):252–60.CrossRefPubMed

Frandon J, Rodiere M, Arvieux C, et al. Blunt splenic injury: outcomes of proximal versus distal and combined splenic artery embolization. Diagn Interv Imaging. 2014;95(9):825–31.CrossRefPubMed

Spiotta AM, Turner RD, Chaudry MI, Turk AS, Hui FK. Schonholz C Carotid sacrifice with a single Penumbra occlusion device: a feasibility study in a swine model. J Neurointerv Surg. 2014. doi:10.1136/neurintsurg-2014-011461.

Title: Proximal Embolization of the Splenic Artery with a Penumbra Occlusion Device (POD): A Novel Occlusion Technique for Blunt Splenic Injuries
Authors: F. Petitpierre
A. S. Lasserre
E. Tricaud
Y. Le Bras
V. Dubuisson
N. Grenier
F. Cornelis
Publication date: 01-02-2016
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 2/2016
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-015-1163-7

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