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Related Experiment Video

Updated: Jul 20, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Splenic artery embolization: Have we gone too far?

Hadley E Smith1, Walter L Biffl, Sarah D Majercik

  • 1Department of Surgery, Rhode Island Hospital and Brown Medical School, Providence, Rhode Island, USA.

The Journal of Trauma
|September 13, 2006
PubMed
Summary

Splenic artery angioembolization (EMBO) for splenic injuries has a high failure rate, especially with severe injuries or active bleeding. Careful patient selection is crucial to avoid splenectomy.

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Area of Science:

  • Trauma Surgery
  • Interventional Radiology
  • Emergency Medicine

Background:

  • Splenic artery angioembolization (EMBO) is used to improve nonoperative management success for splenic injuries.
  • Institutional data suggested higher failure rates than previously reported.
  • Predictors of failure for nonoperative/EMBO management were investigated.

Purpose of the Study:

  • To review institutional experience with splenic artery angioembolization (EMBO).
  • To identify predictors of failure in nonoperative management of splenic injuries treated with EMBO.

Main Methods:

  • Review of trauma registry and interventional radiology database (January 2000-June 2004).
  • Analysis of charts and films for patients with splenic injuries undergoing EMBO.

Related Experiment Videos

Last Updated: Jul 20, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

  • Correlation of injury grade, hemoperitoneum, and angiographic findings with treatment outcomes.

    • Main Results:

    • Of 41 patients undergoing splenic EMBO, 11 (27%) failed management.
    • High-grade splenic injuries (III-V) with significant hemoperitoneum had a 43% failure rate.
    • Angiographic extravasation predicted EMBO failure (59% vs. 4%); coils and selective embolization were more successful.

    Conclusions:

    • Splenic artery angioembolization (EMBO) is associated with a 27% splenectomy rate.
    • Patient selection is critical; high-grade injuries with hemoperitoneum or angiographic extravasation predict failure.
    • Hypotension in patients with contrast blush may indicate need for laparotomy; consider early splenectomy for high-risk cases.