{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:43:03Z","timestamp":1786117383432,"version":"build-2736575974"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,6]]},"DOI":"10.7759\/cureus.114060","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T13:45:26Z","timestamp":1786023926000},"source":"Crossref","is-referenced-by-count":0,"title":["Decreased Frequency of Splenectomy for High-Grade Splenic Injuries Following the Implementation of an Interventional Radiology Alert Protocol"],"prefix":"10.7759","author":[{"given":"Maura","family":"Kopchak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Bach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William B","family":"DeVoe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Dusseau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A","family":"Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Dillis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Glusich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Hubartt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000600","article-title":"Increasing trauma deaths in the United States","volume":"260","author":"Rhee P","year":"2014","unstructured":"Rhee P, Joseph B, Pandit V, Aziz H, Vercruysse G, Kulvatunyou N, Friese RS. Increasing trauma deaths in the United States. Ann Surg. 2014, 260:13-21. 10.1097\/SLA.0000000000000600","journal-title":"Ann Surg"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000199961.02677.19","article-title":"Impact of hemorrhage on trauma outcome: an overview of epidemiology, clinical presentations, and therapeutic considerations","volume":"60","author":"Kauvar DS","year":"2006","unstructured":"Kauvar DS, Lefering R, Wade CE. Impact of hemorrhage on trauma outcome: an overview of epidemiology, clinical presentations, and therapeutic considerations. J Trauma. 2006, 60:S3-11. 10.1097\/01.ta.0000199961.02677.19","journal-title":"J Trauma"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2017-000075","article-title":"An update on nonoperative management of the spleen in adults","volume":"2","author":"Zarzaur BL","year":"2017","unstructured":"Zarzaur BL, Rozycki GS. An update on nonoperative management of the spleen in adults. Trauma Surg Acute Care Open. 2017, 2:e000075. 10.1136\/tsaco-2017-000075","journal-title":"Trauma Surg Acute Care Open"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1725114","article-title":"Where does interventional radiology fit in with trauma management algorithm?","volume":"38","author":"Pillai AS","year":"2021","unstructured":"Pillai AS, Srinivas S, Kumar G, Pillai AK. Where does interventional radiology fit in with trauma management algorithm?. Semin Intervent Radiol. 2021, 38:3-8. 10.1055\/s-0041-1725114","journal-title":"Semin Intervent Radiol"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000450","article-title":"Trauma center angiography use in high-grade blunt splenic injuries. Timing is everything","volume":"77","author":"Zarzaur BL","year":"2014","unstructured":"Zarzaur BL, Savage SA, Croce MA, Fabian TC. Trauma center angiography use in high-grade blunt splenic injuries. Timing is everything. J Trauma Acute Care Surg. 2014, 77:666-73. 10.1097\/TA.0000000000000450","journal-title":"J Trauma Acute Care Surg"},{"key":"ref6","unstructured":"American College of Surgeons. Resources for the optimal care of the injured patient (2022 standards). (2022). Accessed. 6\/1\/2025: https:\/\/www.facs.org\/quality-programs\/trauma\/quality\/verification-review-and-consultation-program\/standards\/."},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002058","article-title":"Organ injury scaling 2018 update: spleen, liver, and kidney","volume":"85","author":"Kozar RA","year":"2018","unstructured":"Kozar RA, Crandall M, Shanmuganathan K, et al.. Organ injury scaling 2018 update: spleen, liver, and kidney. J Trauma Acute Care Surg. 2018, 85:1119-22. 10.1097\/TA.0000000000002058","journal-title":"J Trauma Acute Care Surg"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.84173","article-title":"The development of a trauma interventional radiology alert protocol reduces time to vessel puncture in cases of active hemorrhage","volume":"17","author":"Khan A","year":"2025","unstructured":"Khan A, Gangisetty A, Mitchell S, Daughtery N, Goslin B, DeVoe WB, Bach J. The development of a trauma interventional radiology alert protocol reduces time to vessel puncture in cases of active hemorrhage. Cureus. 2025, 17:e84173. 10.7759\/cureus.84173","journal-title":"Cureus"},{"key":"ref9","unstructured":"ACS. Trauma Quality Improvement Program. (2026). Accessed. 5\/8\/26: https:\/\/www.facs.org\/quality-programs\/trauma\/quality\/trauma-quality-improvement-program\/."},{"key":"ref10","unstructured":"SQUIRE2.0 (Standardsfor QUalityImprovement Reporting Excellence). revised publication guidelines from a detailed consensus process. (2026). Accessed: 5\/8\/26: https:\/\/www.equator-network.org\/reporting-guidelines\/squire\/."},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1356469","article-title":"Diagnosis and therapy of acute hemorrhage in patients with pelvic fractures","volume":"17","author":"Kos S","year":"2013","unstructured":"Kos S, Gutzeit A, Hoppe H, Liu DM, Jacob AL. Diagnosis and therapy of acute hemorrhage in patients with pelvic fractures. Semin Musculoskelet Radiol. 2013, 17:396-406. 10.1055\/s-0033-1356469","journal-title":"Semin Musculoskelet Radiol"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.11.007","article-title":"Time to pelvic embolization for hemodynamically unstable pelvic fractures may affect the survival for delays up to 60 min","volume":"45","author":"Tanizaki S","year":"2014","unstructured":"Tanizaki S, Maeda S, Matano H, Sera M, Nagai H, Ishida H. Time to pelvic embolization for hemodynamically unstable pelvic fractures may affect the survival for delays up to 60 min. Injury. 2014, 45:738-41. 10.1016\/j.injury.2013.11.007","journal-title":"Injury"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000443","article-title":"Improved survival after pelvic fracture. 13-year experience at a single trauma center using a multidisciplinary institutional protocol","volume":"30","author":"Black SR","year":"2016","unstructured":"Black SR, Sathy AK, Jo C, Wiley MR, Minei JP, Starr AJ. Improved survival after pelvic fracture. 13-year experience at a single trauma center using a multidisciplinary institutional protocol. J Orthop Trauma. 2016, 30:22-8. 10.1097\/BOT.0000000000000443","journal-title":"J Orthop Trauma"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001259","article-title":"Angiographic embolization for hemorrhage following pelvic fracture. Is it \"time\" for a paradigm shift?","volume":"82","author":"Tesoriero RB","year":"2017","unstructured":"Tesoriero RB, Bruns BR, Narayan M, et al.. Angiographic embolization for hemorrhage following pelvic fracture. Is it \"time\" for a paradigm shift?. J Trauma Acute Care Surg. 2017, 82:18-26. 10.1097\/TA.0000000000001259","journal-title":"J Trauma Acute Care Surg"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.33266","article-title":"Outcomes of isolated severe blunt splenic injury","volume":"8","author":"Huang W","year":"2025","unstructured":"Huang W, Braschi C, Jin F, Lewis M, Demetriades D. Outcomes of isolated severe blunt splenic injury. JAMA Netw Open. 2025, 8:e2533266. 10.1001\/jamanetworkopen.2025.33266","journal-title":"JAMA Netw Open"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.21037\/atm-20-4381","article-title":"Splenic trauma: endovascular treatment approach","volume":"9","author":"Cretcher M","year":"2021","unstructured":"Cretcher M, Panick CE, Boscanin A, Farsad K. Splenic trauma: endovascular treatment approach. Ann Transl Med. 2021, 9:1194. 10.21037\/atm-20-4381","journal-title":"Ann Transl Med"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.54.3.214","article-title":"Overwhelming infection in asplenic patients: current best practice preventive measures are not being followed","volume":"54","author":"Waghorn DJ","year":"2001","unstructured":"Waghorn DJ. Overwhelming infection in asplenic patients: current best practice preventive measures are not being followed. J Clin Pathol. 2001, 54:214-8. 10.1136\/jcp.54.3.214","journal-title":"J Clin Pathol"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.1463","article-title":"Perioperative immunization for splenectomy and the surgeon's responsibility. A review","volume":"155","author":"Casciani F","year":"2020","unstructured":"Casciani F, Trudeau MT, Vollmer CM Jr. Perioperative immunization for splenectomy and the surgeon's responsibility. A review. JAMA Surg. 2020, 155:1068-77. 10.1001\/jamasurg.2020.1463","journal-title":"JAMA Surg"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.13121370","article-title":"Optimizing trauma multidetector CT protocol for blunt splenic injury: need for arterial and portal venous phase scans","volume":"268","author":"Boscak AR","year":"2013","unstructured":"Boscak AR, Shanmuganathan K, Mirvis SE, et al.. Optimizing trauma multidetector CT protocol for blunt splenic injury: need for arterial and portal venous phase scans. Radiology. 2013, 268:79-88. 10.1148\/radiol.13121370","journal-title":"Radiology"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001550","article-title":"Splenic artery embolization versus splenectomy. Analysis for early in-hospital infectious complications and outcomes","volume":"83","author":"Aiolfi A","year":"2017","unstructured":"Aiolfi A, Inaba K, Strumwasser A, et al.. Splenic artery embolization versus splenectomy. Analysis for early in-hospital infectious complications and outcomes. J Trauma Acute Care Surg. 2017, 83:356-60. 10.1097\/TA.0000000000001550","journal-title":"J Trauma Acute Care Surg"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181f2a92e","article-title":"Outcomes of proximal versus distal splenic artery embolization after trauma: a systematic review and meta-analysis","volume":"70","author":"Schn\u00fcriger B","year":"2011","unstructured":"Schn\u00fcriger B, Inaba K, Konstantinidis A, Lustenberger T, Chan LS, Demetriades D. Outcomes of proximal versus distal splenic artery embolization after trauma: a systematic review and meta-analysis. J Trauma. 2011, 70:252-60. 10.1097\/TA.0b013e3181f2a92e","journal-title":"J Trauma"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/506667-decreased-frequency-of-splenectomy-for-high-grade-splenic-injuries-following-the-implementation-of-an-interventional-radiology-alert-protocol","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T13:45:28Z","timestamp":1786023928000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/506667-decreased-frequency-of-splenectomy-for-high-grade-splenic-injuries-following-the-implementation-of-an-interventional-radiology-alert-protocol"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":21,"URL":"https:\/\/doi.org\/10.7759\/cureus.114060","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,6]]}}}