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Although nonoperative management is the standard of care for hemodynamically stable patients with blunt splenic injury, the indications for splenic angiography and embolization remain controversial. Researchers compared outcomes for hemodynamically stable patients with grades III, IV and V blunt splenic injury who were admitted to a single academic trauma center during 2-year periods before (controls) and after introduction of a protocol requiring that patients without indications for immediate surgery undergo angiography and embolization. Patients in the control group underwent angiography only if computed tomography (CT) imaging showed contrast blush, and embolization was performed at the discretion of the angiographer.
The control group h…