Complications Arising From Splenic Embolization: A Review of an 11 year Experience

Akpofure Peter Ekeh; Shaden Z. Khalaf; Sadia Ilyas; Shannon L. Kauffman; Mbaga S. Walusimbi; Mary C. McCarthy

doi:10.1016/j.amjsurg.2013.01.003

Complications Arising From Splenic Embolization: A Review of an 11 year Experience

Akpofure Peter Ekeh, Shaden Z. Khalaf, Sadia Ilyas, Shannon L. Kauffman, Mbaga S. Walusimbi, Mary C. McCarthy

Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

<p> <h4 id="x-x-x-x-x-absSec_1"> Background </h4> <p id="x-x-x-x-x-abspara0010"> 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. <h4 id="x-x-x-x-x-absSec_2"> Methods </h4> <p id="x-x-x-x-x-abspara0015"> 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. <h4 id="x-x-x-x-x-absSec_3"> Results </h4> <p id="x-x-x-x-x-abspara0020"> 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; <em> P </em> = .02). Minor complications, which occurred in 34% of patients, included left-sided pleural effusions, coil migration, and fever. <h4 id="x-x-x-x-x-absSec_4"> Conclusions </h4> <p id="x-x-x-x-x-abspara0025"> SAE is a useful tool for managing splenic injuries. Major and minor complications can occur. Distal embolization is associated with more major complications. </p> </p> </p> </p></p>

Original language	American English
Journal	The American Journal of Surgery
Volume	205
DOIs	https://doi.org/10.1016/j.amjsurg.2013.01.003
State	Published - Mar 1 2013

Keywords

Splenic Embolization
Splenic Trauma
Complications
Nonoperative Management

Disciplines

Medical Specialties
Medicine and Health Sciences
Surgery

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10.1016/j.amjsurg.2013.01.003License: CC BY

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@article{a92c94a2be7649a0bb524c2b9252a1c4,

title = "Complications Arising From Splenic Embolization: A Review of an 11 year Experience",

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. ",

keywords = "Splenic Embolization, Splenic Trauma, Complications, Nonoperative Management",

author = "Ekeh, {Akpofure Peter} and Khalaf, {Shaden Z.} and Sadia Ilyas and Kauffman, {Shannon L.} and Walusimbi, {Mbaga S.} and McCarthy, {Mary C.}",

year = "2013",

month = mar,

day = "1",

doi = "10.1016/j.amjsurg.2013.01.003",

language = "American English",

volume = "205",

journal = "The American Journal of Surgery",

}

TY - JOUR

T1 - Complications Arising From Splenic Embolization: A Review of an 11 year Experience

AU - Ekeh, Akpofure Peter

AU - Khalaf, Shaden Z.

AU - Ilyas, Sadia

AU - Kauffman, Shannon L.

AU - Walusimbi, Mbaga S.

AU - McCarthy, Mary C.

PY - 2013/3/1

Y1 - 2013/3/1

N2 - 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.

AB - 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.

KW - Splenic Embolization

KW - Splenic Trauma

KW - Complications

KW - Nonoperative Management

UR - https://corescholar.libraries.wright.edu/surg/28

U2 - 10.1016/j.amjsurg.2013.01.003

DO - 10.1016/j.amjsurg.2013.01.003

M3 - Article

C2 - 23375704

VL - 205

JO - The American Journal of Surgery

JF - The American Journal of Surgery

ER -

Complications Arising From Splenic Embolization: A Review of an 11 year Experience

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