ArticleCardiovascular and interventional radiology2025
Splenic Artery Embolisation for Splenic Injury in Haemodynamically Unstable Patients.
Article in Cardiovascular and interventional radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Implementing a Trauma Hybrid Operating Room from an Interventional Radiology Perspective.Cardiovascular and interventional radiology · 2026Article
- Time to Splenic Embolisation in Trauma Patients Arriving at a Major Trauma Centre In-Hours or Out-of-Hours: A UK Multicentre Study.Cardiovascular and interventional radiology · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSplenic artery embolisation (SAE) is a well-established treatment for high-grade splenic laceration due to blunt trauma in haemodynamically stable patients supported by major societal guidelines. However, guidelines support splenectomy in unstable patients, and there are limited data assessing the efficacy and role of SAE in this cohort. This study aimed to analyse the efficacy of splenic artery embolisation for unstable trauma patients in preventing mortality.
methodsA single-centre retrospective case-control study was performed covering a 13.5-year period. Patients with splenic laceration due to blunt trauma who underwent splenic artery embolisation or splenectomy were identified and analysed. Haemodynamically unstable patients, as defined by a shock index of ≥ 1.0 or systolic blood pressure of < 90 mmHg, who underwent SAE versus upfront splenectomy were compared as specific cohorts. The primary outcomes were all-cause 30-day mortality and splenic salvage rates.
resultsA total of 126 haemodynamically unstable patients underwent SAE for blunt trauma, and eight haemodynamically unstable patients underwent upfront splenectomy. Among unstable patients who underwent SAE, splenic salvage was achieved in 98%, with 4% mortality at 30 days. Comparing unstable patients who underwent SAE versus upfront splenectomy, there was no significant difference in mortality at 30 days (p = 0.34).
conclusionSplenic artery embolisation is a safe and efficacious treatment in unstable patients with splenic laceration due to blunt trauma, with no significant difference in mortality compared to upfront splenectomy, supporting SAE as a primary treatment standard in this patient cohort.
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