BACKGROUND: @entity1416 ( @entity1416 ) improves non-operative splenic salvage rates in adults, but its utility and safety in the pediatric population is less well defined. OBJECTIVE: Because adolescent @entity130 @entity1 are often triaged to adult @entity130 centers, we were interested in evaluating @entity1416 in this particular population. We hypothesize that angiography and embolization is a safe and effective adjunct to non-operative management in the adolescent population. METHODS: A retrospective review of all @entity1 aged 13-17 years admitted to our Level I @entity130 Center with blunt @entity130 from 1997-2005 was performed. We reviewed @entity1 demographics, operative reports, admission, and follow-up abdominal computed tomography (ACT) results, angiographic reports, and @entity1 outcomes. RESULTS: A total of 97 @entity1 were reviewed. Eighteen @entity1 underwent immediate surgery, and 79 of the remaining @entity1 had planned non-operative management. Of those participating in non-operative management, 35/79 (44%) were initially observed and 44/79 (56%) underwent initial angiography, 23/44 having embolization. @entity1 in the embolization group had an overall high grade of injury (American Association for the Surgery of @entity130 mean grade 3.3, SD 0.6). The overall splenic salvage rate was 96% (76/79) in the non-operative management group; 100% splenic salvage was seen in the observational group; 100% salvage was also seen in @entity1 with negative angiography, and 87% salvage (20/23) in the @entity1416 group. CONCLUSION: @entity1416 may be a valuable adjunct in adolescent blunt @entity130 , especially in higher grade injuries or with evidence of @entity1317 on ACT.

Blunt XXXX in the adolescent @entity130 population: the role of angiography and embolization.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['splenic vascular injury'] @entity1416 :: ('MESH:D020762', 'Disease') :: ['Splenic artery embolization', 'SAE', 'splenic artery embolization'] @entity130 :: ('MESH:D014947', 'Disease') :: ['splenic injury', 'Trauma', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['splenic injuries']
