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• W2519203886 abstract "The spleen is the second most commonly injured organ in cases of abdominal trauma. Management of splenic injury depends on the clinical status of the patient and can include nonoperative management (NOM), splenic artery embolization (SAE), surgery (operative splenic salvage or splenectomy), or a combination of these treatments. In nonoperatively managed cases, SAE is sometimes used to control haemorrhage. However, the indications for SAE have not been clearly defined and, in some cases, the potential complications of the procedure may outweigh its benefits. Through review of the literature we address the question of when SAE is indicated in combination with NOM of splenic injury, and whether SAE may delay needed surgical treatment in some cases. This systematic review highlighted the use of imperfect and inconsistent scoring systems in the diagnosis of splenic injury, the lack of consensus regarding indications for SAE, and the potential for severe morbidities associated with this procedure. Based on current literature and evidence we provide a new, non-verified, decision algorithm. NOM+ SAE involves potential risks and operative management may be preferable to SAE for certain patients. To clarify current literature, we propose a new algorithm for blunt abdominal trauma that should be validated prospectively. New evidence-based protocols should be developed to guide diagnosis and management of patients with splenic trauma." @default.
• W2519203886 created "2016-09-23" @default.
• W2519203886 creator A5011653958 @default.
• W2519203886 creator A5081780612 @default.
• W2519203886 date "2016-09-13" @default.
• W2519203886 modified "2023-10-12" @default.
• W2519203886 title "Splenic artery embolization: technically feasible but not necessarily advantageous" @default.
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• W2519203886 doi "https://doi.org/10.1186/s13017-016-0100-7" @default.
• W2519203886 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5020467" @default.
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