Endovascular embolization results in treatment of I-IV grade traumatic spleen rupture: single centre study

Ilva Langrate, Aina Kratovska, Sanita Ponomarjova, Patrīcija Ivanova

Research output: Contribution to conferenceAbstractpeer-review

Abstract

Purpose: Splenic artery embolization (SAE) is commonly used for low- grade traumatic spleen rupture (TSR) (I-II), however hemodynamically stable patients with high-grade TSR (III-V) could also benefit from SAE. The purpose of this study was to:
1. evaluate etiology and injury grade of TSR;
2. analyze association between injury grade (IG) and inflammatory param- eter change after SAE.
Materials and Methods: In this retrospective single center study patients undergoing SAE for TSR from 2014 to 2020 were included. IG assesed with American Association for Surgery of Trauma (AAST) scale. Blood sample analysis performed on admission and on 1st, 4th, 7th, 10th hos- pitalization day.
Results: 20 patients included, mean age: 45.30 years. TSR ethiology: 50% - polytrauma, 35%- fall from height, 15%- forensic trauma. According to AAST scale: 5% - I IG, 15% -II IG, 45% - III IG, 35%- IV IG. SAE was performed with coils. In 87% of cases proximal SAE performed from bifurcation to mid- dle of the artery. In 13% additional superselective distal SAE performed. Compared to admission, on 10th day after SAE absolute leukocyte count and C-reactive protein (CRP) percentual changes were: I IG leukocytes: +627%, CRP: +217% (p<0.05), II IG leukocytes: -29.6%, CRP: +77% (p<0.05), III IG leukocytes: +55.2%, CRP: +1093% (p<0.05), IV IG leukocytes: -39%, CRP: +93% (p<0.05). One patient developed splenomegaly that required splenectomy; no other significant complications were recognized. Conclusion: The dominant cause of TSR in Latvia- polytrauma. SAE can be considered as alternative to splenectomy in hemodynamically stable patients with low and high-grade TSR with minor complication risk
Original languageEnglish
Pagess256
DOIs
Publication statusPublished - 2021
Externally publishedYes
EventCIRSE 2021 -
Duration: 25 Sep 202128 Sep 2021
http://10.1007/s00270-021-02939-6

Conference

ConferenceCIRSE 2021
Period25/09/2128/09/21
Internet address

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 3.4. Other publications in conference proceedings (including local)

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