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Article
Complications arising from Splenic Embolization following Blunt Splenic Trauma
The American Journal of Surgery
  • Akpofure Peter Ekeh, Wright State University
  • Mary C. McCarthy, Wright State University
  • Randy J. Woods, Wright State University
  • Earl Haley, Wright State University
Document Type
Article
Publication Date
3-1-2005
Abstract
Background Nonoperative management (NOM) of splenic trauma is now the standard in stable trauma patients. Splenic artery embolization (SAE) is an increasingly used adjunct to NOM. We examined complications arising from SAE. Methods Patients admitted to a level I trauma center with splenic trauma over a 26-month period were identified. Management method, operative or nonoperative, was noted. SAE patients were analyzed in detail. Results There were 284 splenic trauma admissions. Ninety-three patients underwent operative management, and 191 received NOM. Fifteen patients (7.8%) underwent SAE. Embolization was proximal in 10, distal in 1, and combined in 4 patients. No NOM failures occurred. Major complications (27%) included splenic bleeding, splenic infarction, splenic abscess, and contrast-induced renal insufficiency. Minor complications of fever, pleural effusions, and coil migration occurred in 53% of patients. No relationship between SAE location and the presence of complications was noted. Conclusions SAE is an effective and safe procedure. Both major and minor complications can arise after SAE.
Comments

This paper was presented at the 47th Annual Meeting of the Midwest Surgical Association, Mackinac Island, Michigan, August 15–18, 2004.

DOI
10.1016/j.amjsurg.2004.11.033
Citation Information
Akpofure Peter Ekeh, Mary C. McCarthy, Randy J. Woods and Earl Haley. "Complications arising from Splenic Embolization following Blunt Splenic Trauma" The American Journal of Surgery Vol. 189 Iss. 3 (2005) p. 335 - 339 ISSN: 0002-9610
Available at: http://works.bepress.com/mary_mccarthy/99/