AI Article Synopsis
- A study examined the clinical outcomes of patients with blunt splenic injuries who received transarterial embolization (TAE), focusing on their hemodynamic status (stable vs unstable).
- The research analyzed data from 38 adult patients treated at two centers from 2011 to 2022, comparing the survival rates, rebleeding incidents, and need for splenectomy between hemodynamically stable (HDS) and unstable (HDU) groups.
- Results showed a high survival discharge rate for both groups (88.2% in HDU and 100% in HDS), but highlighted the need for more studies to assess the effectiveness of TAE compared to traditional surgery for HDU patients.
Article Abstract
Purpose: We described clinical outcomes for patients with blunt splenic injuries treated with transarterial embolization (TAE) based on their hemodynamic status.
Materials And Methods: This is a retrospective two-center study of adult patients with splenic injuries who underwent emergency TAE between January 2011 and December 2022. Patients were divided into two groups; hemodynamically unstable (HDU) and hemodynamically stable (HDS) patients. HDU patients were defined as transient- or non-responders to fluid resuscitation and HDS as responders. When immediate laparotomy was not possible for HDU patients, angiography and embolization were performed. The primary outcome was the survival discharge rate. Rebleeding and splenectomy rate was also investigated.
Results: Of 38 patients underwent emergency TAE for splenic trauma, 17 were HDU patients and 21 were HDS patients. The survival discharge rate was 88.2 % (15/17) in the HDU- and 100 % in HDS patients (p = 0.193). Rebleeding rate was 23.5 % (4/17) in HDU- and 5.0 % (1/21) in HDS patients (p = 0.15). Splenectomy was required for one HDU patient (5.9 %) for rebleeding.
Conclusion: The survival discharge rate of TAE for splenic trauma in HDU patients was acceptable with a low rate of splenectomy. Further comparative studies of TAE versus operative management in HDU patients are needed to prove the usefulness of TAE.
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| http://dx.doi.org/10.1016/j.injury.2024.111768 | DOI Listing |
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