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Trauma Surgery Colleagues: "IT IS TIME for change of attitude and nomenclature to reflect that Splenic Artery Embolization ( #SAE) is its own distinct procedure, rather than being constrained as a faceless nonoperative adjunct"
is why: 20 min, pinhole in wrist, Spleen saved
is why: 20 min, pinhole in wrist, Spleen saved
Link to @CVIR_Journal
https://link.springer.com/article/10.1007/s00270-020-02593-4
Discussion points:
There is high-level evidence to support safety and efficacy of SAE.
It is no longer appropriate to compare SAE to Non operative mgmnt (NOM- bed rest, serial exam, monitoring Hb Hct, reduced oral intake).....
https://link.springer.com/article/10.1007/s00270-020-02593-4
Discussion points:
There is high-level evidence to support safety and efficacy of SAE.
It is no longer appropriate to compare SAE to Non operative mgmnt (NOM- bed rest, serial exam, monitoring Hb Hct, reduced oral intake).....
...or splenectomy as a gold standard, as this fails to address the loss of splenic function ( dt splenectomy)
A modern algorithm may allow patients to be treated under three distinct pathways depending on their clinical picture/ imaging findings: splenectomy, SAE, observation.
A modern algorithm may allow patients to be treated under three distinct pathways depending on their clinical picture/ imaging findings: splenectomy, SAE, observation.
