ArticleCVIR endovascular2022
Impact of site of occlusion in proximal splenic artery embolisation for blunt splenic trauma.
Article in CVIR endovascular, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Evaluating the reproducibility of AAST-OIS CT scoring for splenic injuries: the need for standardization.La Radiologia medica · 2025Trial
- Article
- Clinical analysis on comparison of outcomes between partial splenic artery embolization and splenectomy for management of grade II-III splenic injury in blunt trauma.European journal of medical research · 2025Article
- The treatment of challenging visceral and peripheral arterial aneurysms with flow diversion-a German multicentric observational study.Frontiers in medical technology · 2025Article
- Clinical Outcomes of Total or Partial Renal Artery Embolization in Patients with Spontaneous Renal Bleeding.Current medical imaging · 2025Article
- Splenic artery embolization for trauma: a narrative review.Journal of trauma and injury · 2024Article
- Proximal splenic artery embolization for treatment of refractory ascites, a single-center experience.Hepatology research : the official journal of the Japan Society of Hepatology · 2024Article
- MDCT evaluation of Dorsal Pancreatic Artery and Intrapancreatic arcade anatomy.Surgical and radiologic anatomy : SRA · 2023Article
- Preventive Proximal Splenic Artery Embolization for High-Grade AAST-OIS Adult Spleen Trauma without Vascular Anomaly on the Initial CT Scan: Technical Aspect, Safety, and Efficacy-An Ancillary Study.Journal of personalized medicine · 2023Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProximal splenic artery embolisation (PSAE) can be performed in stable patients with Association for the Surgery of Trauma (AAST) grade III-V splenic injury. PSAE reduces splenic perfusion but maintains viability of the spleen and pancreas via the collateral circulation. The hypothesized ideal location is between the dorsal pancreatic artery (DPA) and great pancreatic artery (GPA). This study compares the outcomes resulting from PSAE embolisation in different locations along the splenic artery. MATERIALS AND
methodsRetrospective review was performed of PSAE for blunt splenic trauma (2015-2020). Embolisation locations were divided into: Type I, proximal to DPA; Type II, DPA-GPA; Type III, distal to GPA. Fifty-eight patients underwent 59 PSAE: Type I (7); Type II (27); Type III (25). Data was collected on technical and clinical success, post-embolisation pancreatitis and splenic perfusion. Statistical significance was assessed using a chi-squared test.
resultsTechnical success was achieved in 100% of cases. Clinical success was 100% for Type I/II embolisation and 88% for Type III: one patient underwent reintervention and two had splenectomies for ongoing instability. Clinical success was significantly higher in Type II embolisation compared to Type III (p = 0.02). No episodes of pancreatitis occurred post-embolisation. Where post-procedural imaging was obtained, splenic perfusion remained 100% in Type I and II embolisation and 94% in Type III. Splenic perfusion was significantly higher in the theorized ideal Type II group compared to Type I and III combined (p = 0.01).
conclusionThe results support the proposed optimal embolisation location as being between the DPA and GPA.
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