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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...

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  2. Each patient’s injury was graded using the revised 2018 AAST Spleen Injury Scale, and all Grade 4 and 5 splenic injuries were included in the study. High-risk features on CT imaging were defined as active extravasation, evidence of pseudoaneurysm, hilar injuries, multiple lacerations, or Grade 5 injuries.

  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. Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries.

  5. 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).

  6. Any injury in the presence of a splenic vascular injury or active bleeding confined within splenic capsule Parenchymal laceration involving segmental or hilar vessels producing >25% devascularization Any injury in the presence of a splenic vascular injury with extended beyond active bleeding the spleen into the peritoneum Shattered spleen

  7. 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.