The role of splenic angioembolization as an adjunct to nonoperative management of blunt splenic injuries: A systematic review and meta-analysis

Crichton J. C. I., Naidoo K., YET B., Brundage S. I., Perkins Z.

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, vol.83, no.5, pp.934-943, 2017 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 83 Issue: 5
  • Publication Date: 2017
  • Doi Number: 10.1097/ta.0000000000001649
  • Journal Name: JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.934-943
  • Keywords: Spleen, angioembolization, nonoperative management, blunt trauma, ARTERY EMBOLIZATION, NONSURGICAL MANAGEMENT, AMERICAN ASSOCIATION, SUCCESS RATE, TRAUMA, OUTCOMES, SURGERY, COMPLICATIONS, IMPACT, BLUSH
  • Middle East Technical University Affiliated: No

Abstract

BACKGROUND: Nonoperative management (NOM) of hemodynamically normal patients with blunt splenic injury (BSI) is the standard of care. Guidelines recommend additional splenic angioembolization (SAE) in patients with American Association for the Surgery of Trauma (AAST) Grade IV and Grade V BSI, but the role of SAE in Grade III injuries is unclear and controversial. The aim of this systematic review was to compare the safety and effectiveness of SAE as an adjunct to NOM versus NOM alone in adults with BSI.