2017
Natural history of splenic vascular abnormalities after blunt injury
Zarzaur BL, Dunn JA, Leininger B, Lauerman M, Shanmuganathan K, Kaups K, Zamary K, Hartwell JL, Bhakta A, Myers J, Gordy S, Todd SR, Claridge JA, Teicher E, Sperry J, Privette A, Allawi A, Burlew CC, Maung AA, Davis KA, Cogbill T, Bonne S, Livingston DH, Coimbra R, Kozar RA. Natural history of splenic vascular abnormalities after blunt injury. Journal Of Trauma And Acute Care Surgery 2017, 83: 999-1005. PMID: 28570347, DOI: 10.1097/ta.0000000000001597.Peer-Reviewed Original ResearchConceptsBlunt splenic injurySplenic vascular injuryVascular injuryVascular abnormalitiesSplenic injuryTomography scanNatural historyRisks of splenectomyOutcomes of patientsComputed tomography scanNonoperative failureAdult patientsBlunt injuryEarly splenectomyUnderwent splenectomyInjury characteristicsMultivariable analysisTrauma centerTrauma radiologistSplenectomyHigh riskPrognostic studiesPatientsAppropriate managementLevel III
1998
Improved Success in Nonoperative Management of Blunt Splenic Injuries
Davis K, Fabian T, Croce M, Gavant M, Flick P, Minard G, Kudsk K, Pritchard F. Improved Success in Nonoperative Management of Blunt Splenic Injuries. Journal Of Trauma And Acute Care Surgery 1998, 44: 1008-1015.. PMID: 9637156, DOI: 10.1097/00005373-199806000-00013.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreSplenic injury gradeBlunt splenic injuryBlunt splenic traumaNonoperative managementSplenic artery pseudoaneurysmTomographic scanSplenic injuryArtery pseudoaneurysmSplenic traumaTrauma splenic injury gradeFollow-up computed tomographyEvidence of pseudoaneurysmNonoperative failure rateSuccessful nonoperative managementPredictors of failureOutcome of managementContrast blushEmbolization attemptsHemodynamic instabilityInjury gradeConsecutive patientsUrgent operationVascular blushMean age