Nonoperative Management of Splenic Trauma: An Update

John Walker; Aftab Haq; Rajeev Suri

doi:10.1055/s-0038-1655770

Digestive Disease Interventions, Inhaltsverzeichnis

Digestive Disease Interventions 2018; 02(02): 172-178
DOI: 10.1055/s-0038-1655770

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Nonoperative Management of Splenic Trauma: An Update

Autoren

John Walker

¹Department of Radiology, Section of Interventional Radiology, University Texas Health Science Center at San Antonio, San Antonio, Texas
Aftab Haq

¹Department of Radiology, Section of Interventional Radiology, University Texas Health Science Center at San Antonio, San Antonio, Texas
Rajeev Suri

¹Department of Radiology, Section of Interventional Radiology, University Texas Health Science Center at San Antonio, San Antonio, Texas

Abstract

Splenic injuries continue to be a common solid organ injury among trauma victims. Practice outcomes continue to improve with centers now routinely incorporating endovascular therapy into nonoperative management protocols. Since such incorporation, endovascular practice patterns continue to evolve as more data regarding outcomes concerning approach, embolic techniques, and time to intervention become available. These data are driving trauma centers to adopt multidisciplinary protocols with standardization of triage to nonoperative management, imaging, and endovascular interventions. This review aims to provide the interventionalist with an overview of existing and upcoming practice patterns.

Keywords

splenic trauma - nonoperative - endovascular

Volltext

Referenzen

References
1 Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System. Ten leading Causes of Death and Injury. Atlanta, GA: Centers for Disease Control and Prevention; 2015
2 Arumugam S, Al-Hassani A, El-Menyar A. , et al. Frequency, causes and pattern of abdominal trauma: a 4-year descriptive analysis. J Emerg Trauma Shock 2015; 8 (04) 193-198
3 Costa G, Tierno SM, Tomassini F. , et al. The epidemiology and clinical evaluation of abdominal trauma. An analysis of a multidisciplinary trauma registry. Ann Ital Chir 2010; 81 (02) 95-102
4 Richardson JD. Changes in the management of injuries to the liver and spleen. J Am Coll Surg 2005; 200 (05) 648-669
5 van der Vlies CH, Hoekstra J, Ponsen KJ, Reekers JA, van Delden OM, Goslings JC. Impact of splenic artery embolization on the success rate of nonoperative management for blunt splenic injury. Cardiovasc Intervent Radiol 2012; 35 (01) 76-81
6 Pandey SK, Bhattacharya S, Mishra RN, Shukla VK. Anatomical variations of the splenic artery and its clinical implications. Clin Anat 2004; 17 (06) 497-502
7 King H, Shumacker Jr HB. Splenic studies. I. Susceptibility to infection after splenectomy performed in infancy. Ann Surg 1952; 136 (02) 239-242
8 Zarrabi MH, Rosner F. Serious infections in adults following splenectomy for trauma. Arch Intern Med 1984; 144 (07) 1421-1424
9 Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology 2012; 265 (03) 678-693
10 Jansen JO, Yule SR, Loudon MA. Investigation of blunt abdominal trauma. BMJ 2008; 336 (7650): 938-942
11 Olthof DC, Sierink JC, van Delden OM, Luitse JS, Goslings JC. Time to intervention in patients with splenic injury in a Dutch level 1 trauma centre. Injury 2014; 45 (01) 95-100
12 Michailidou M, Velmahos GC, van der Wilden GM, Alam HB, de Moya M, Chang Y. “Blush” on trauma computed tomography: not as bad as we think!. J Trauma Acute Care Surg 2012; 73 (03) 580-584 , discussion 584–586
13 Thompson BE, Munera F, Cohn SM. , et al. Novel computed tomography scan scoring system predicts the need for intervention after splenic injury. J Trauma 2006; 60 (05) 1083-1086
14 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 (02) 177-187 , discussion 187–189
15 Fernandes TM, Dorigatti AE, Pereira BM, Cruvinel Neto J, Zago TM, Fraga GP. Nonoperative management of splenic injury grade IV is safe using rigid protocol. Rev Col Bras Cir 2013; 40 (04) 323-329
16 Rosati C, Ata A, Siskin GP, Megna D, Bonville DJ, Stain SC. Management of splenic trauma: a single institution's 8-year experience. Am J Surg 2015; 209 (02) 308-314
17 Lopera JE. Embolization in trauma: principles and techniques. Semin Intervent Radiol 2010; 27 (01) 14-28
18 Bhullar IS, Tepas III JJ, Siragusa D, Loper T, Kerwin A, Frykberg ER. To nearly come full circle: Nonoperative management of high-grade IV-V blunt splenic trauma is safe using a protocol with routine angioembolization. J Trauma Acute Care Surg 2017; 82 (04) 657-664
19 Frandon J, Rodiere M, Arvieux C. , et al. Blunt splenic injury: are early adverse events related to trauma, nonoperative management, or surgery?. Diagn Interv Radiol 2015; 21 (04) 327-333
20 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 (04) 644-648
21 Alarhayem AQ, Myers JG, Dent D. , et al. “Blush at first sight”: significance of computed tomographic and angiographic discrepancy in patients with blunt abdominal trauma. Am J Surg 2015; 210 (06) 1104-1110 , discussion 1110–1111
22 Ekeh AP, McCarthy MC, Woods RJ, Haley E. Complications arising from splenic embolization after blunt splenic trauma. Am J Surg 2005; 189 (03) 335-339
23 Foley PT, Kavnoudias H, Cameron PU, Czarnecki C, Paul E, Lyon SM. Proximal versus distal splenic artery embolisation for blunt splenic trauma: What is the impact on splenic immune function?. Cardiovasc Intervent Radiol 2015; 38 (05) 1143-1151