Document Detail

CT findings after embolization for blunt splenic trauma.
MedLine Citation:
PMID:  11265885     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To determine complications after transcatheter embolization for blunt splenic injury as recognized with computed tomography (CT). MATERIALS AND METHODS: From March 1997 to January 2000, 80 patients underwent transcatheter embolization after blunt splenic injury, of whom 53 underwent abdominal CT examination before and after embolization. Preembolization CT scans were reviewed to determine grade of injury, and postembolization CT scans were reviewed to identify complications secondary to embolization. Arteriography results were reviewed to determine findings and method and location of embolization. RESULTS: Splenic infarcts occurred in 63% of patients after proximal embolization and in 100% of patients after distal embolization. Infarcts after distal embolization tend to be larger and occur just distal to the embolization material, whereas infarcts after proximal embolization tend to be smaller, multiple, and located in the periphery. Most infarcts resolved without sequelae. Seven patients developed gas within an infarct or subcapsular fluid collection. Two collections were drained and found to be sterile and one patient had a splenic abscess at laparotomy. CONCLUSIONS: Infarcts are common after splenic embolization. Gas may be present within an infarct after embolization with Gelfoam; however, the presence of air/fluid level is a better predictor of abscess.
K L Killeen; K Shanmuganathan; R Boyd-Kranis; T M Scalea; S E Mirvis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  12     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-03-26     Completed Date:  2001-05-24     Revised Date:  2006-04-13    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  209-14     Citation Subset:  IM    
Department of Diagnostic Radiology, University of Maryland Medical System and Shock Trauma Center, Baltimore 21201-1595, USA.
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MeSH Terms
Embolization, Therapeutic* / adverse effects
Gelatin Sponge, Absorbable
Infarction / etiology,  radiography
Spleen / injuries*
Splenic Artery / radiography
Tomography, X-Ray Computed*
Wounds, Nonpenetrating / radiography*,  therapy*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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