2019
Contemporary management of spontaneous retroperitoneal and rectus sheath hematomas
Warren MH, Bhattacharya B, Maung AA, Davis KA. Contemporary management of spontaneous retroperitoneal and rectus sheath hematomas. The American Journal Of Surgery 2019, 219: 707-710. PMID: 31109633, DOI: 10.1016/j.amjsurg.2019.05.002.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAngiographyAnticoagulantsBlood Component TransfusionEmbolization, TherapeuticFemaleHematomaHumansInternational Normalized RatioLength of StayMaleMiddle AgedPlatelet Aggregation InhibitorsProthrombin TimeRectal DiseasesRetroperitoneal SpaceRetrospective StudiesShock, HemorrhagicTomography, X-Ray ComputedConceptsSheath hematomaSurgical interventionBlood product transfusionOptimal treatment strategySpontaneous retroperitonealIntravenous heparinProduct transfusionAdult patientsMedian ageAntiplatelet agentsHemorrhagic shockDisease progressionBlood productsTreatment strategiesCT scanHematomaOutcome dataPatientsOne-year periodContemporary managementSpecific agentsAngioembolizationRetroperitonealInterventionAgents
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
2004
Splenic Embolization Revisited: A Multicenter Review
Haan JM, Biffl W, Knudson MM, Davis KA, Oka T, Majercik S, Dicker R, Marder S, Scalea TM. Splenic Embolization Revisited: A Multicenter Review. Journal Of Trauma And Acute Care Surgery 2004, 56: 542-547. PMID: 15128125, DOI: 10.1097/01.ta.0000114069.73054.45.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultAneurysm, FalseArteriovenous FistulaEmbolization, TherapeuticExtravasation of Diagnostic and Therapeutic MaterialsFemaleHemoperitoneumHumansMaleOutcome Assessment, Health CareRadiographyRetrospective StudiesSalvage TherapySpleenSplenectomySplenic RuptureTrauma CentersTreatment FailureTreatment OutcomeUnited StatesWounds, NonpenetratingConceptsSplenic salvage rateSplenic embolizationSalvage rateMulticenter reviewModerate injury severity scoreRetrospective multicenter reviewHigh-grade injuriesRetrospective chart reviewInjury Severity ScoreYoung male patientTomographic scan resultsYears of ageMotor vehicle crashesSignificant hemoperitoneumTomographic gradeEmbolization groupInjury gradeSplenic injuryChart reviewPatient demographicsSplenic abscessYounger patientsArterial injuryGrade injuriesMajor complications
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