Interventional embolization of splenic artery in blunt abdominal trauma Essa

Abstract

For trauma patients with splenic injuries suspected to have active bleeding, exploratory angiography and transcatheter embolization of the splenic artery has shown to be feasible, safe , effective and increased splenic salvage chance on adding it to nonoperative management plans. The patient clinical condition and AAST injury grade classify and direct the patient to the appropriate management pathway, whether to have simple observation, angioembolization or surgery. The higher the splenic injury grade, the more beneficial is the embolization, as those patients were used, most probably, to have surgical splenectomy . The cornerstone for a successful splenic empolization is depending primarly on the good cooperation and teamwork between surgeons and radiologists that leads to an optimum patient selection to have the procedure.