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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. Highlight the new AAST splenic injury grading system with detailed review of splenic injury patterns that constitute each grade. Discuss the implications of imaging findings and AAST splenic injury grading on management decisions for splenic injury.

  3. 17 sie 2023 · According to the 2018 revision, any injury in the presence of a splenic vascular injury (pseudoaneurysm or arteriovenous fistula) or active bleeding confined within the splenic capsule is grade IV, while active bleeding extending beyond the spleen into the peritoneum is grade V.

  4. 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).

  5. Using radiologist expert consensus grading as the reference standard, diagnosis of high-grade (IV and V) splenic injuries—those that require urgent hemorrhage control intervention for splenic salvage [33, 45]—was achieved with an accuracy, sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) of 92% ...

  6. Grading splenic injuries by using CT helps to identify low-grade injuries appropriate for nonoperative manage-ment and high-grade injuries that require angioemboliza-tion or emergency laparotomy. For CT in patients with splenic trauma, one of the most important goals is the detection of splenic vascular injuries.

  7. 27 mar 2018 · AAST grading system is a grading system for splenic injury assessment raised since 1987 in order of facilitating management and evaluating outcomes of splenic injury due to blunt trauma. Using CT scanning led to lower need of operative management in low-grade injuries.