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This review aims to evaluate the effectiveness and outcomes of splenic artery embolization in managing high-grade blunt splenic trauma.

March 17, 2026CureusOpen Access

Role and Techniques of Splenic Angioembolization in the Management of High-Grade (AAST III-V) Blunt Splenic Trauma: A Systematic Review

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This review aims to evaluate the effectiveness and outcomes of splenic artery embolization in managing high-grade blunt splenic trauma.
Conducted a systematic review of five retrospective cohort studies.
Included 600 adults with high-grade blunt splenic trauma.
Analyzed outcomes such as technical success, splenic salvage, and complications.
SAE showed high technical success rates of 92-100%.
Splenic salvage rates were greater than 90%.
Proximal and distal embolization had comparable salvage rates, though distal showed longer fluoroscopy times.
Low overall mortality and reduced need for delayed splenectomy observed.

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Systematic review evaluates splenic artery embolization outcomes in high-grade blunt splenic trauma, suggesting effective hemostatic intervention.

Assaf et al. (2026) studied this question.

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Systematic review evaluates splenic artery embolization outcomes in high-grade blunt splenic trauma, suggesting effective hemostatic intervention.