Time to Splenic Angioembolization Does Not Impact Splenic Salvage Rates

被引：3

作者：

Harfouche, Melike N. ^{[1
,3
]}

Dhillon, Navpreet K. ^{[1
]}

Hawley, Kristy L. ^{[1
]}

DuBose, Joseph J. ^{[2
]}

Kozar, Rosemary A. ^{[1
]}

Feliciano, David V. ^{[1
]}

Scalea, Thomas M. ^{[1
]}

机构：

[1] Univ Maryland, Dept Surg, Sch Med, Baltimore, MD USA

[2] Univ Texas Austin, Dell Med Sch, Dept Surg, Austin, TX USA

[3] Univ Maryland, Sch Med, 22S Greene St, Baltimore, MD 21201 USA

来源：

AMERICAN SURGEON | 2023年 / 89卷 / 08期

关键词：

trauma; vascular surgery; surgical quality;

D O I：

10.1177/00031348231161674

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We aimed to determine whether early (<6 hours) vs delayed (>= 6 hours) splenic angioembolization (SAE) after blunt splenic trauma (grades II-V) impacted splenic salvage rates at a level I trauma center (2016-2021). The primary outcome was delayed splenectomy by timing of SAE. Mean time of SAE was determined for those who failed vs those who had successful splenic salvage. We retrospectively identified 226 individuals, from which 76 (33.6%) were in the early group and 150 (66.4%) were in the delayed group. The early group had higher AAST grade, greater amount of hemoperitoneum on CT, and 3.9x greater odds of undergoing delayed splenectomy (P = .046). Time to embolization was shorter in the group that failed splenic salvage (5 vs 10 hours, P = .051). On multivariate analysis, timing of SAE had no effect on splenic salvage. This study supports performing SAE on an urgent rather than emergent basis in stable patients after blunt splenic injury.

引用

页码：3493 / 3495

页数：3

共 4 条

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