The Impact of Splenic Artery Embolization on the Management of Splenic Trauma: An 8-year Review

Akpofure Peter Ekeh; Brent Izu; Mark Ryan; Mary C. McCarthy

doi:10.1016/j.amjsurg.2008.11.017

The Impact of Splenic Artery Embolization on the Management of Splenic Trauma: An 8-year Review

Akpofure Peter Ekeh, Brent Izu, Mark Ryan, Mary C. McCarthy

Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

<p> <h4 id="x-x-absSec_1"> Background </h4> <p id="x-x-simple-para0030"> Splenic artery embolization (SAE) is an adjunct to nonoperative management (NOM) of splenic injuries. We reviewed our experience with SAE to identify its impact on splenic operations. <h4 id="x-x-absSec_2"> Methods </h4> <p id="x-x-simple-para0035"> Patients admitted with splenic injuries over an 8-year period were identified and the initial method of management noted (simple observation, SAE, or splenic surgery). The first 4 years (period 1) during which SAE was introduced was compared with the latter 4 years (period 2) when it was used frequently. <h4 id="x-x-absSec_3"> Results </h4> <p id="x-x-simple-para0040"> There were 304 patients in period 1 and 416 in period 2. NOM was initial management in 59.9% in period 1% and 60.1% in period 2 ( <em> P </em> = 1.0) and failure rates were 5.3% versus 2.9%, respectively ( <em> P </em> = .12). More SAE procedures were performed in period 2—13.7% versus 4.9% ( <em> P </em> ≤.001)—and there was a reduction in the proportion of splenic operations—35.2% versus 26.2% ( <em> P </em> <.01). <h4 id="x-x-absSec_4"> Conclusions </h4> <p id="x-x-simple-para0045"> SAE is associated with a reduction in splenic operations, although it did not alter the failure rate of NOM. </p> </p> </p> </p></p>

Original language	American English
Journal	The American Journal of Surgery
Volume	197
DOIs	https://doi.org/10.1016/j.amjsurg.2008.11.017
State	Published - Mar 1 2009

Keywords

Splenic Artery Embolization
Splenic trauma
Splenectomy
Splenorrhaphy
Non-operative Management

Disciplines

Medical Specialties
Medicine and Health Sciences
Surgery

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10.1016/j.amjsurg.2008.11.017License: CC BY

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@article{3fa3b724dabc46fea8f65f93668fa008,

title = "The Impact of Splenic Artery Embolization on the Management of Splenic Trauma: An 8-year Review",

abstract = " Background Splenic artery embolization (SAE) is an adjunct to nonoperative management (NOM) of splenic injuries. We reviewed our experience with SAE to identify its impact on splenic operations. Methods Patients admitted with splenic injuries over an 8-year period were identified and the initial method of management noted (simple observation, SAE, or splenic surgery). The first 4 years (period 1) during which SAE was introduced was compared with the latter 4 years (period 2) when it was used frequently. Results There were 304 patients in period 1 and 416 in period 2. NOM was initial management in 59.9% in period 1% and 60.1% in period 2 ( P = 1.0) and failure rates were 5.3% versus 2.9%, respectively ( P = .12). More SAE procedures were performed in period 2—13.7% versus 4.9% ( P ≤.001)—and there was a reduction in the proportion of splenic operations—35.2% versus 26.2% ( P <.01). Conclusions SAE is associated with a reduction in splenic operations, although it did not alter the failure rate of NOM. ",

keywords = "Splenic Artery Embolization, Splenic trauma, Splenectomy, Splenorrhaphy, Non-operative Management",

author = "Ekeh, {Akpofure Peter} and Brent Izu and Mark Ryan and McCarthy, {Mary C.}",

year = "2009",

month = mar,

day = "1",

doi = "10.1016/j.amjsurg.2008.11.017",

language = "American English",

volume = "197",

journal = "The American Journal of Surgery",

}

TY - JOUR

T1 - The Impact of Splenic Artery Embolization on the Management of Splenic Trauma: An 8-year Review

AU - Ekeh, Akpofure Peter

AU - Izu, Brent

AU - Ryan, Mark

AU - McCarthy, Mary C.

PY - 2009/3/1

Y1 - 2009/3/1

N2 - Background Splenic artery embolization (SAE) is an adjunct to nonoperative management (NOM) of splenic injuries. We reviewed our experience with SAE to identify its impact on splenic operations. Methods Patients admitted with splenic injuries over an 8-year period were identified and the initial method of management noted (simple observation, SAE, or splenic surgery). The first 4 years (period 1) during which SAE was introduced was compared with the latter 4 years (period 2) when it was used frequently. Results There were 304 patients in period 1 and 416 in period 2. NOM was initial management in 59.9% in period 1% and 60.1% in period 2 ( P = 1.0) and failure rates were 5.3% versus 2.9%, respectively ( P = .12). More SAE procedures were performed in period 2—13.7% versus 4.9% ( P ≤.001)—and there was a reduction in the proportion of splenic operations—35.2% versus 26.2% ( P <.01). Conclusions SAE is associated with a reduction in splenic operations, although it did not alter the failure rate of NOM.

AB - Background Splenic artery embolization (SAE) is an adjunct to nonoperative management (NOM) of splenic injuries. We reviewed our experience with SAE to identify its impact on splenic operations. Methods Patients admitted with splenic injuries over an 8-year period were identified and the initial method of management noted (simple observation, SAE, or splenic surgery). The first 4 years (period 1) during which SAE was introduced was compared with the latter 4 years (period 2) when it was used frequently. Results There were 304 patients in period 1 and 416 in period 2. NOM was initial management in 59.9% in period 1% and 60.1% in period 2 ( P = 1.0) and failure rates were 5.3% versus 2.9%, respectively ( P = .12). More SAE procedures were performed in period 2—13.7% versus 4.9% ( P ≤.001)—and there was a reduction in the proportion of splenic operations—35.2% versus 26.2% ( P <.01). Conclusions SAE is associated with a reduction in splenic operations, although it did not alter the failure rate of NOM.

KW - Splenic Artery Embolization

KW - Splenic trauma

KW - Splenectomy

KW - Splenorrhaphy

KW - Non-operative Management

UR - https://corescholar.libraries.wright.edu/surg/20

U2 - 10.1016/j.amjsurg.2008.11.017

DO - 10.1016/j.amjsurg.2008.11.017

M3 - Article

C2 - 19245911

VL - 197

JO - The American Journal of Surgery

JF - The American Journal of Surgery

ER -

The Impact of Splenic Artery Embolization on the Management of Splenic Trauma: An 8-year Review

Abstract

Keywords

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