This Article Full Text Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Sekikawa, Z Articles by Inoue, T Search for Related Content PubMed PubMed Citation Articles by Sekikawa, Z Articles by Inoue, T

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

Departments of ¹ Radiology and ² Critical and Emergency, Yokohama City University Medical Centre, 4–57 Urafunecho Minamiku, Yokohama-city and ³ Department of Radiology, Yokohama City University School of Medicine, 3–9 Fukuura Kanazawaku, Yokohama-city, Japan

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.