Jessica A Naiditch, David M Notrica, Lois W Sayrs, Maria Linnaus, Rachael Stottlemyre, Nilda M Garcia, Karla A Lawson, Aaron S Cohen, Robert W Letton, Jeremy Johnson, R Todd Maxson, James W Eubanks, Mark Ryan, Adam Alder, Todd A Ponsky, Shawn D St Peter, Amina M Bhatia, Charles M Leys
BACKGROUND: Nonoperative management (NOM) is the standard of care for the management of blunt liver and spleen injuries (BLSI) in the stable pediatric patient. Angiography with embolization (AE) is utilized as an adjunctive therapy in the management of adult BLSI patients, but it is rarely utilized in the pediatric population. In this planned secondary analysis, we describe the current utilization patterns of AE in the management of pediatric BLSI. METHODS: After obtaining IRB approval at each center, cohort data was collected prospectively for children admitted with BLSI confirmed on CT at 10 Level 1 pediatric trauma centers (PTCs) throughout the United States from April 2013 to January 2016...
January 9, 2024: Journal of Trauma and Acute Care Surgery