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Article
Complications Arising From Splenic Embolization: A Review of an 11 year Experience
The American Journal of Surgery
  • Akpofure Peter Ekeh, Wright State University
  • Shaden Z. Khalaf, Wright State University
  • Sadia Ilyas, Wright State University
  • Shannon L. Kauffman, Wright State University
  • Mbaga S. Walusimbi, Wright State University
  • Mary C. McCarthy, Wright State University
Document Type
Article
Publication Date
3-1-2013
Abstract

Background

Splenic artery embolization (SAE) is a staple adjunct in the management of blunt splenic trauma. We examined complications of SAE over an 11-year period. Methods

Patients who underwent SAE were identified. Demographic data and the location of the SAE—proximal, distal, or combined—were noted. Major and minor complications were identified. Results

Of 1,383 patients with blunt splenic trauma, 298 (21.5%) underwent operative management, and 1,085 (78.5%) underwent nonoperative management (NOM). SAE was performed in 8.1% of the NOM group. Major complications which occurred in 14% of patients, included splenic abscesses, infarction, cysts, and contrast-induced renal insufficiency. Three-fourths of patients with major complications underwent distal embolization. There were more complications in patients who underwent distal embolization (24% distal vs 6% proximal alone; P = .02). Minor complications, which occurred in 34% of patients, included left-sided pleural effusions, coil migration, and fever. Conclusions

SAE is a useful tool for managing splenic injuries. Major and minor complications can occur. Distal embolization is associated with more major complications.

Comments

This paper was presented at the 55th Annual Meeting of the Midwest Surgical Association, Mackinac Island, MI, August 5–8, 2012.

DOI
10.1016/j.amjsurg.2013.01.003
Citation Information
Akpofure Peter Ekeh, Shaden Z. Khalaf, Sadia Ilyas, Shannon L. Kauffman, et al.. "Complications Arising From Splenic Embolization: A Review of an 11 year Experience" The American Journal of Surgery Vol. 205 Iss. 3 (2013) p. 250 - 254 ISSN: 0002-9610
Available at: http://works.bepress.com/ap_ekeh/58/