ArticleSurgical endoscopy2023
Comparison of outcomes of proximal versus distal and combined splenic artery embolization in the management of blunt splenic injury: a report of 202 cases from a single trauma center.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Efficacy and clinical outcomes of proximal splenic artery embolization in patients with chemotherapy induced thrombocytopenia.Langenbeck's archives of surgery · 2026Article
- Review
- Left-Sided Pleural Effusion as a Complication Following Splenic Embolisation: A Case Report and Literature Review.Cureus · 2025Article
- Real-World Outcomes of Splenic Artery Embolization in Blunt Splenic Trauma: Insights from an Italian Multicenter Cohort.Journal of personalized medicine · 2025Article
- Management of Solid Organ Arterial Pseudoaneurysms Following Trauma.Seminars in interventional radiology · 2025Review
- Splenic artery embolization in the treatment of blunt splenic injury: single level 1 trauma center experienceDiagnostic and interventional radiology (Ankara, Turkey) · 2025Article
- Our Experience with the Low-Profile Braided Occluder: A Case Series of Splenic Artery Embolization in Three Trauma Patients.The Indian journal of radiology & imaging · 2025Article
- Splenic artery embolization for the treatment of spontaneous splenic rupture in hemophilia A: a case report.AME case reports · 2025Article
- Splenic artery embolization for trauma: a narrative review.Journal of trauma and injury · 2024Article
- Damage Control Interventional Radiology: The bridge between non-operative management and damage control surgery.CVIR endovascular · 2024Review
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo compare the outcomes of blunt splenic injuries (BSI) managed with proximal (P) versus distal (D) versus combined (C) splenic artery embolization (SAE).
methodsThis retrospective study included patients with BSI who demonstrated vascular injuries on angiograms and were managed with SAE between 2001 and 2015. The success rate and major complications (Clavien-Dindo classification ≥ III) were compared between the P, D, and C embolizations.
resultsIn total, 202 patients were enrolled (P, n = 64, 31.7%; D, n = 84, 41.6%; C, n = 54, 26.7%). The median injury severity score was 25. The median times from injury to SAE were 8.3, 7.0, and 6.6 h for the P, D, and C embolization, respectively. The overall haemostasis success rates were 92.6%, 93.8%, 88.1%, and 98.1% in the P, D, and C embolizations, respectively, with no significant difference (p = 0.079). Additionally, the outcomes were not significantly different between the different types of vascular injuries on angiograms or the materials used in the location of embolization. Splenic abscess occurred in six patients (P, n = 0; D, n = 5; C, n = 1), although it occurred more commonly in those who underwent D embolization with no significant difference (p = 0.092).
conclusionsThe success rate and major complications of SAE were not significantly different regardless of the location of embolization. The different types of vascular injuries on angiograms and agents used in different embolization locations also did not affect the outcomes.
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