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  1. 11 lip 2024 · The American Association for the Surgery of Trauma (AAST) splenic injury scale, revised in 2018, is the most widely used grading system for splenic trauma. The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criteria for visceral injury 4.

    • AAST Spleen Injury Scale

      The AAST guidelines recommend dual arterial/portal venous...

    • Case 12

      The liver, spleen, pancreas, kidneys and adrenal glands are...

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  2. 20 lip 2024 · Most splenic injuries in haemodynamically-stable patients are treated non-surgically. Splenic artery embolization plays a major role in treating high-grade splenic injuries (both in haemodynamically-stable and -unstable patients; practice varies from institution-to-institution).

  3. Citation, DOI, disclosures and case data. Simplified diagram describing the injuries for each splenic injury grade as per the 2018 AAST organ injury update.

  4. High-resolution CT images can accurately identify the spleen laceration, optimizing the trauma protocols for patients suspected of splenic injury [13]. Current therapeutic options for...

  5. The American Association for the Surgery of Trauma (AAST) splenic organ injury scale (OIS) is the most frequently used CT-based grading system for blunt splenic trauma.

  6. Interactive calculators have been developed that facilitate grading of splenic injuries per AAST guidelines. Management. Observation, angiographic embolization, or surgery depending upon: Hemodynamic status of the patient; Grade of splenic injury; Presence of other injuries and medical comorbidities; Operative Management

  7. 2 lut 2021 · Grading splenic injuries by using CT helps to identify low-grade injuries appropriate for nonoperative management and high-grade injuries that require angioembolization or emergency laparotomy. For CT in patients with splenic trauma, one of the most important goals is the detection of splenic vascular injuries.