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Related Experiment Videos

Splenic embolization revisited: a multicenter review.

James M Haan1, Walter Biffl, M Margaret Knudson

  • 1Department of Surgical Critical Care, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Green Street, Baltimore, MD 21201-1595, USA. jhaan@umm.edu

The Journal of Trauma
|May 7, 2004
PubMed
Summary

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Splenic embolization is effective for saving spleens, particularly in severe injuries. While complications occur, they generally do not negatively impact patient outcomes, making it a valuable trauma treatment.

Area of Science:

  • Trauma Surgery
  • Interventional Radiology
  • Emergency Medicine

Background:

  • Splenic embolization is a key intervention for nonoperative management of splenic injuries.
  • Complications associated with splenic embolization require further definition.
  • A multicenter retrospective review was conducted to assess risks and benefits.

Purpose of the Study:

  • To delineate the risks and benefits of splenic embolization in trauma patients.
  • To evaluate the splenic salvage rate and identify factors influencing success.
  • To characterize the types and frequency of complications.

Main Methods:

  • Retrospective chart review of 140 patients undergoing splenic embolization (1997-2002).
  • Data collected from four Level I trauma centers included demographics, injury grade, imaging, technique, and outcomes.

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  • Analysis focused on splenic salvage rates and procedural complications.

    • Main Results:

    • Splenic salvage rate was 87%, decreasing with higher injury grades (grades 4 and 5 had >80% success).
    • Arteriovenous fistula presence correlated with high failure rates.
    • Major complications included bleeding (16 patients), splenic abscesses (6 patients), and arterial injury (1 patient).

    Conclusions:

    • Splenic embolization is a valuable technique for splenic salvage, especially for high-grade injuries.
    • Complications are frequent but do not appear to compromise overall patient outcomes.
    • The procedure supports nonoperative management strategies in splenic trauma.