Patil Mangaladevi S, Goodin Sean Z, Findeiss Laura K
Department of Radiology, Emory University School of Medicine, Atlanta, Georgia.
Semin Intervent Radiol. 2020 Mar;37(1):97-102. doi: 10.1055/s-0039-3401845. Epub 2020 Mar 4.
The spleen is the most commonly injured organ after blunt abdominal trauma. Nonoperative management with splenic arterial embolization (SAE) is the current standard of care for hemodynamically stable patients. Current data favor the use of proximal and coil embolization techniques in adults, while observation is suggested in the pediatric population. In this review, the authors describe the most recent evidence informing the clinical indications, techniques, and complications for SAE.
脾脏是钝性腹部创伤后最常受损的器官。脾动脉栓塞术(SAE)的非手术治疗是目前血流动力学稳定患者的标准治疗方法。目前的数据支持在成人中使用近端和线圈栓塞技术,而对于儿科患者则建议进行观察。在这篇综述中,作者描述了为SAE的临床适应症、技术和并发症提供依据的最新证据。