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World Journal of Surgery

, Volume 32, Issue 3, pp 476–482 | Cite as

Complications Associated With Embolization in the Treatment of Blunt Splenic Injury

  • Shih-Chi Wu
  • Ray-Jade Chen
  • Albert D. Yang
  • Cheng-Cheng Tung
  • Kun-Hua Lee
Article

Abstract

Background

Nonoperative management (NOM) of blunt splenic injuries is widely accepted, and the use of splenic artery embolization (SAE) has become a valuable adjunct to NOM. We retrospectively review and discuss the complications derived from SAE.

Materials and methods

The medical records of 152 consecutive patients with blunt splenic trauma admitted to our trauma center during a 33-month period were retrospectively reviewed. The patients were managed according to an established algorithm. The record review focused on the method of patient management (operative versus nonoperative) and use of SAE. The complications encountered following SAE are discussed in detail.

Results

Altogether, 73 patients underwent emergency surgery (58 splenectomies, 15 splenorrhaphies), and 79 patients had NOM. Of the 79 patients with NOM, 58 were successfully treated; 2 patients required splenectomy after 24 hours. The remaining 21 patients had SAE, including 18 distal and 3 proximal embolizations. Major complications occurred in 28.5% of the SAE-treated patients and included total splenic infarction, splenic atrophy, and postprocedure bleeding. Minor complications occurred in 61.9% of the patients and included fever, pleural effusion, and partial splenic infarction.

Conclusion

SAE is considered a valuable adjunct to NOM in the treatment of blunt splenic injuries; however, risks of major and minor complications do exist, and SAE should be offered with caution and followed up appropriately.

Keywords

Splenic Injury Compute Tomogram Splenic Infarction Splenic Abscess Splenic Artery Embolization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirurgie 2007

Authors and Affiliations

  • Shih-Chi Wu
    • 1
    • 2
  • Ray-Jade Chen
    • 2
  • Albert D. Yang
    • 3
  • Cheng-Cheng Tung
    • 1
  • Kun-Hua Lee
    • 1
  1. 1.Division of TraumaChanghua Christian HospitalChanghuaROC
  2. 2.Trauma and Emergency CenterChina Medical University HospitalTaichungROC
  3. 3.Division of RadiologyChanghua Christian HospitalChanghuaROC

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