Does splenic embolization and grade of splenic injury impact nonoperative management in patients sustaining blunt splenic trauma?

American Surgeon

Volumn 77, Issue 2, 2011, Pages 215-220

  Jeremitsky, Elan ^a   Kao, Amy ^b   Carlton, Chad ^a   Rodriguez, Aurelio ^a   Ong, Adrian ^a  

^a ALLEGHENY GENERAL HOSPITAL   (United States)

^b UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL BLUNT TRAUMA; ADULT; ALGORITHM; ARTICLE; ARTIFICIAL EMBOLISM; CLINICAL OBSERVATION; CONFIDENCE INTERVAL; CONSERVATIVE TREATMENT; CONTROLLED STUDY; FEMALE; HAZARD RATIO; HUMAN; INJURY SEVERITY; KAPLAN MEIER METHOD; LIFE TABLE; MAJOR CLINICAL STUDY; MALE; PROPORTIONAL HAZARDS MODEL; REGISTER; RETROSPECTIVE STUDY; SPLEEN INJURY; SPLENECTOMY;

ACCIDENTS, TRAFFIC; ADULT; EMBOLIZATION, THERAPEUTIC; FEMALE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PROPORTIONAL HAZARDS MODELS; RETROSPECTIVE STUDIES; RISK FACTORS; SPLEEN; SPLENECTOMY; TREATMENT FAILURE; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 79952409754     PISSN: 00031348     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Peitzman AB, Heil B, Rivera L, et al. Blunt splenic injury in adults: multi-institutional study of the Eastern Association for the Surgery of Trauma. J Trauma 2000;49:177-89.
2. Cogbill TH, Moore EE, Jurkovich GJ, et al. Nonoperative management of blunt splenic trauma: a multicenter experience. J Trauma 1989;29:1312-7. (Pubitemid 19283246)
3. Traub AC, Perry JF. Injuries associated with splenic trauma. J Trauma 1981;21:840-7. (Pubitemid 11022530)
4. Coburn MC, Pfeifer J, DeLuca FG. Nonoperative management of splenic and hepatic trauma in the multiply injured pediatric and adolescent patient. Arch Surg 1995;130:332-8.
5. Keller MS, Vane DW. Management of pediatric blunt splenic injury: comparison of pediatric and adult trauma surgeons. J Pediatr Surg 1995;30:221-4.
6. Konstantakos AK, Barnoski AL, Plaiser BR, et al. Optimizing the management of blunt splenic injury in adults and children. Surgery 1999;126:805-12.
7. Powell M, Courcoulas A, Gardner M, et al. Management of blunt splenic trauma: significant difference between adults and children. Surgery 1997;122:654-60. (Pubitemid 27452573)
8. Federle MP, Courcoulas AP, Powell M, et al. Blunt splenic injury in adults: clinical and CT criteria for management with emphasis on active extravasation. Radiology 1998;206:137-42. (Pubitemid 28062997)
9. Sclafani SJ, Shaftan GW, Scalea TM, et al. Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis. J Trauma 1995;39:818-25.
10. Alonso M, Brathwaite C, Garcia V, et al. Practice Management Guidelines for The Nonoperative Management of Blunt Injury to The Liver and Spleen. Eastern Association for the Surgery of Trauma, 2003.
11. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision). J Trauma 1995;38:323-4.
12. Smith J, Armen S, Cook CH, et al. Blunt splenic injuries: have we watched long enough? J Trauma 2008;64:656-65.
13. Harbrecht BG, Ko SH, Watson GA, et al. Angiography for blunt splenic trauma does not improve success rate of nonoperative management. J Trauma 2007;63:44-9. (Pubitemid 47057560)
14. Sabe AA, Claridge JA, Rosenblum DI, et al. The effects of splenic artery embolization on nonoperative management of blunt splenic injury: a 16-year experience. J Trauma 2009;67:565-72.
15. Weinberg JA, Magnotti LJ, Croce MA, et al. The utility of serial computed tomography imaging of blunt splenic injury: still worth a second look? J Trauma 2007;62:1143-8.