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Date Published: 05/02/2025
Abstract Views: 199
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DOI: https://doi.org/10.51298/vmj.v546i3.12788
Issue
Vol. 546 No. 3 (2025)
Section
Các bài báo
How to Cite
Nguyễn, V. T., Lê, T. D., Phan, N. A., Trần, Q. L., & Phạm, H. Đức. (2025). SOME FACTORS AFFECTING INDICATION AND TREATMENT OUTCOME OF PATIENTS WITH BLUNT SPLENIC INJURY WHO UNDERGO SPLENIC ARTERY EMBOLIZATION. Vietnam Medical Journal, 546(3). https://doi.org/10.51298/vmj.v546i3.12788

SOME FACTORS AFFECTING INDICATION AND TREATMENT OUTCOME OF PATIENTS WITH BLUNT SPLENIC INJURY WHO UNDERGO SPLENIC ARTERY EMBOLIZATION

Văn Thắng Nguyễn, Thanh Dũng Lê, Nhật Anh Phan, Quang Lộc Trần, Hồng Đức Phạm

Main Article Content

Abstract

Objective: The purpose of this study is to understand the related factors affecting the indications and outcomes of conservative nonsurgical treatment of splenic trauma. Subjects and Methods: Descriptive with analysis, retrospective and prospective study of 254 patients with grade III - V blunt splenic injury, who were treated at Viet Duc Friendship Hospital and aint Paul General Hospital from December 2019 to December 2022. Results: Among 254 patients with moderate and severe splenic injuries in this study, 83 cases were treated with spleen preservation by embolization with a mean age of 36.7 ± 17.3 years. The technical success rate was 100% and the clinical success rate was 97.6% (81 patients). Notably, the type of embolization material and embolization location did not affect the results of treatment. Conclusion: Splenic angioembolization should be strongly considered as an adjunct to NOM in patients with AAST Grade IV-V but should not be routinely recommended in patients with AAST Grade III injuries. Embolization is a safe and effective treatment even in the presence of severe associated injuries.

Article Details

Keywords

splenic trauma, embolization, factors affecting

References

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