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
2010
Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT)
Velmahos GC, Zacharias N, Emhoff TA, Feeney JM, Hurst JM, Crookes BA, Harrington DT, Gregg SC, Brotman S, Burke PA, Davis KA, Gupta R, Winchell RJ, Desjardins S, Alouidor R, Gross RI, Rosenblatt MS, Schulz JT, Chang Y. Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT). JAMA Surgery 2010, 145: 456-460. PMID: 20479344, DOI: 10.1001/archsurg.2010.58.Peer-Reviewed Original ResearchConceptsBlunt splenic injuryFailure of NOMNonoperative managementGrade IVF-NOMBrain injurySevere blunt splenic injuryTrial of NOMOverall high success rateMortality of patientsRetrospective case seriesSuccessful nonoperative managementPredictors of failureRequire surgerySplenic injuryAdult patientsIndependent predictorsCase seriesTrauma centerMulticenter studyHigh success ratePatientsMultivariate analysisInjurySuccess rate
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