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Factors affecting clinical outcome of patients who undergo transcatheter arterial embolisation in splenic injury.

Authors
  • Sekikawa, Z
  • Takebayashi, S
  • Kurihara, H
  • Lee, J
  • Niwa, T
  • Kawamoto, M
  • Yamamoto, T
  • Suzuki, J
  • Sugiyama, M
  • Inoue, T
Type
Published Article
Journal
The British journal of radiology
Publication Date
Apr 01, 2004
Volume
77
Issue
916
Pages
308–311
Identifiers
PMID: 15107320
Source
Medline
License
Unknown

Abstract

Transcatheter arterial embolisation (TAE) offers a less invasive approach to traditional laparotomy for the management of bleeding in the context of blunt splenic injury. This is a retrospective review study to identify clinical factors associated with clinical outcome of the patients who underwent this procedure. Of 65 patients with splenic injuries at our institution, 26 patients underwent TAE for management of bleeding. The following factors were assessed to determine their relationship to procedure outcomes: American Association for the Surgery of Trauma (AAST) grade, complications, age, shock index, injury severity score (ISS), haemoglobin (Hb), haematocrit (Ht), prothrombin time (PT), activated partial thromboplastin time (APTT), systolic blood pressure (BP), BP changes during TAE, blood transfused before TAE and timing of TAE. The overall good clinical outcome rate was 73.1% (19/26). Of the factors we assessed, absence of concomitant pelvic injury, higher Hb, higher Ht, higher BP, greater increases in BP during TAE and a decreased requirement for blood transfusions before TAE were associated with good clinical outcome of the patients who underwent TAE in splenic injury.

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