J Korean Radiol Soc.  1998 Jun;38(6):1013-1019. 10.3348/jkrs.1998.38.6.1013.

The Efficacy of Transcatheter Arterial Embolization(TAE) in Children With Blunt Splenic Injury

• Park SK
• Kim YJ
• Kwon TS
• Kim JJ
• Ko SM
• Sung KJ

• KMID: 2201338
• DOI: http://doi.org/10.3348/jkrs.1998.38.6.1013

Abstract

PURPOSE: To evaluate the efficacy of transcatheter arterial embolization(TAE) in children with blunt splenicinjury.
MATERIALS AND METHODS
The results of transcatheter splenic arterial embolization in nine children whosuffered splenic injury after blunt abdominal trauma were retrospectively studied. This injury was demonstrated byCT, and the findings were evaluated according to the classification of Mirvis et al. ; two patients were grade 3and seven were grade 4. All were carefully observed in intensive care before embolization. TAE was performed if apatient satisfied the following criteria : (1) transfusion and/or fluid replacement required to maintainhemodynamic stability ; or (2) rapid Hb/Hct decrease ; or (3) both. Splenic function was subsequently estimatedaccording to the results of 99mTc-sulfur colloid scintigraphy and/or CT scanning. RESULT: TAE was suscessful inall nine children. Two were embolized with a coil only, three with gelfoam, and four with gelfoam and a coil.Seven were embolized in the main trunk of the splenic artery and others in both the main trunk and its branches.Splenic function was preserved in all nine children, during follow-up, none suffered rebleeding.
CONCLUSION
TAEof the splenic artery can be a safe and effective nonsurgical approach to the management of blunt splenic injuryin children, and can preserve splenic function.

Keyword

Arteries, therapentic blockade; Spleen, angiography; Spleen, trauma; Children, injuries

MeSH Terms

Child*
Classification
Colloids
Follow-Up Studies
Gelatin Sponge, Absorbable
Humans
Critical Care
Radionuclide Imaging
Retrospective Studies
Splenic Artery
Tomography, X-Ray Computed
Colloids