Pediatric Abdominal and Pelvic Trauma: Safety and Efficacy of Arterial Embolization

Vo, Nghia J.; Althoen, Morgan; Hippe, Daniel S.; Prabhu, Somnath J.; Valji, Karim; Padia, Siddharth A.

doi:10.1016/j.jvir.2013.09.014

Cited by 47 publications

(53 citation statements)

References 26 publications

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“…Vo et al 4 reported an overall mortality rate of 22% in pediatric patients undergoing SAE for splenic trauma, but this study included embolization of other organs besides the spleen in the analysis. In comparison, smaller studies with 15 or less patients reported no deaths.…”

Section: Commentsmentioning

confidence: 99%

“…Previous studies in children have demonstrated safety of embolization for traumatic splenic injuries, but have not provided direct comparison of two procedures. 2–4 In adults, SAE has been demonstrated to improve splenic salvage rates for grade IV and V injuries. 12 This point is especially important in the pediatric population, as children have a higher mortality rate from sepsis following splenectomy compared with adults.…”

Section: Commentsmentioning

confidence: 99%

See 1 more Smart Citation

Comparative effectiveness of treatment strategies for severe splenic trauma in the pediatric population

Rialon

Englum

Gulack

et al. 2016

The American Journal of Surgery

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BACKGROUND Splenic angioembolization (SAE) is increasingly used in the management of splenic injuries in adults, although its value in pediatric trauma is unclear. We sought to assess outcomes related to splenectomy vs SAE. METHODS The National Trauma Data Bank was queried for patients 0 to 15 years of age from 2007 to 2011. Subgroup analysis of splenectomy vs SAE was performed for high-grade injuries using propensity analysis and inverse probability weighting. RESULTS Of 11,694 children presenting with splenic trauma, over 90% were treated nonoperatively. Adjusted analysis of high-grade injuries included 265 children who underwent splenectomy and 199 who underwent SAE. The Injury Severity Score, number of transfusions, and complications rates were not significantly different between the 2 groups. Overall adjusted mortality for children with high-grade injuries was 13.4% following splenectomy and 10.0% following SAE (P = .31) CONCLUSION Patients undergoing SAE for high-grade splenic trauma have comparable morbidity and mortality with splenectomy.

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Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

Comparative effectiveness of treatment strategies for severe splenic trauma in the pediatric population

Rialon

Englum

Gulack

et al. 2016

The American Journal of Surgery

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“…Angioembolization has been used in children and adolescents with blunt trauma to control bleeding [40]. The majority of children with contrast extravasation do not need angioembolization, and the current role appears to be limited to children who are otherwise failing nonoperative management [41-44,45 & ].…”

Section: Angioembolizationmentioning

confidence: 99%

Pediatric blunt abdominal trauma

Notrica

2015

Current Opinion in Critical Care

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“…Catheter-based interventions for life-threatening haemorrhage have a track record of effectiveness in adult and paediatric trauma [29,30]. Advantages include less insensible fluid loss, less risk of hypothermia and access to a bleeding site without a surgical incision's potential to disrupt tamponade.…”

Section: Embolization For Haemorrhagementioning

confidence: 99%