{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T19:39:53Z","timestamp":1793648393860,"version":"4.5.1"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T00:00:00Z","timestamp":1675123200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T00:00:00Z","timestamp":1675123200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cardiovasc Intervent Radiol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To assess the efficacy of conservative management and embolisation in patients with spontaneous retroperitoneal haemorrhage.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Single-centre retrospective case\u2013control study of patients with spontaneous retroperitoneal haemorrhage treated conservatively or with embolisation. Patients aged\u2009\u2265\u200918\u00a0years were identified from CT imaging reports stating a diagnosis of retroperitoneal haemorrhage or similar and images reviewed for confirmation. Exclusion criteria included recent trauma, surgery, retroperitoneal vascular line insertion, or other non-spontaneous aetiology.<\/jats:p>\n                <jats:p>Datapoints analysed included treatment approach (conservative or embolisation), technical success, clinical success, and mortality outcome.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 54 patients met inclusion criteria, who were predominantly anticoagulated (74%), male (72%), older adults (mean age 69\u00a0years), with active haemorrhage on CT (52%). Overall mortality was 15%. Clinical success was more likely with conservative management (36\/38) than embolisation (9\/16; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), and all-cause (1\/38 vs 7\/16; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and uncontrolled primary bleeding (1\/38 vs 5\/16; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) mortality were higher with embolisation. However, embolised patients more commonly had active bleeding on CT (15\/38 vs 13\/16; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), shock (5\/38 vs 6\/16; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.04), and higher blood transfusion volumes (mean 2.2 vs 5.9 units; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). After one-to-one propensity score matching, differences in clinical success (<jats:italic>p<\/jats:italic>\u2009=\u20090.04) and all-cause mortality (<jats:italic>p<\/jats:italic>\u2009=\u20090.01) remained; however, difference in uncontrolled primary bleeding mortality did not (<jats:italic>p<\/jats:italic>\u2009=\u20090.07).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Conservative management of SRH is likely to be effective in most patients, even in those who are anticoagulated and haemodynamically unstable, with variable success seen after embolisation in a more unstable patient group, supporting the notion that resuscitation and optimisation of coagulation are the most vital components of treatment. \n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00270-023-03359-4","type":"journal-article","created":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T18:13:06Z","timestamp":1675188786000},"page":"488-495","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Spontaneous Retroperitoneal Haemorrhage: Efficacy of Conservative Management and Embolisation"],"prefix":"10.1007","volume":"46","author":[{"given":"Matthew","family":"Lukies","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Gipson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sia Yang","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1859-5850","authenticated-orcid":false,"given":"Warren","family":"Clements","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,1,31]]},"reference":[{"issue":"4","key":"3359_CR1","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1016\/j.amjsurg.2019.05.002","volume":"219","author":"MH Warren","year":"2020","unstructured":"Warren MH, Bhattacharya B, Maung AA, Davis KA. 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