ReviewCureus2026
Role and Techniques of Splenic Angioembolization in the Management of High-Grade (AAST III-V) Blunt Splenic Trauma: A Systematic Review.
Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
0 citing papers in PubMed.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Blunt splenic trauma is the most common solid organ injury in abdominal trauma, with high-grade (American Association for the Surgery of Trauma (AAST) III-V) injuries carrying increased risk of hemorrhage and failure of non-operative management (NOM). Splenic artery embolization (SAE) has emerged as a key adjunct for hemodynamically stable patients, aiming to achieve hemostasis while preserving splenic function. This systematic review evaluated SAE outcomes in high-grade blunt splenic trauma, focusing on technical success, splenic salvage, re-bleeding, complications, delayed splenectomy, and mortality. Five retrospective cohort studies, including 600 adults, were analyzed. SAE demonstrated high technical success (92-100%) and splenic salvage rates (>90%). Proximal and distal embolization achieved comparable salvage rates; distal embolization was associated with longer fluoroscopy times and occasional re-bleeding, while combined techniques showed higher abscess formation. Overall mortality was low, and SAE facilitated preservation of splenic function, reducing the need for delayed splenectomy. Limitations include retrospective design, moderate-to-serious risk of bias, and limited long-term immunologic data. SAE is a safe and effective adjunct to NOM in high-grade blunt splenic trauma, with technique selection influencing complication profiles. Prospective studies are needed to optimize embolization strategies and evaluate long-term outcomes.
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