Higher incidence of major complications after splenic embolization for blunt splenic injuries in elderly patients

Shih Chi Wu, Chih Yuan Fu, Ray Jade Chen, Yung Fang Chen, Yu Chun Wang, Ping Kuei Chung, Shu Fen Yu, Cheng Cheng Tung, Kun Hua Lee

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Nonoperative management (NOM) of blunt splenic injuries has been widely accepted, and the application of splenic artery embolization (SAE) has become an effective adjunct to NOM. However, complications do occur after SAE. In this study, we assess the factors leading to the major complications associated with SAE. Materials and Methods: Focusing on the major complications after SAE, we retrospectively studied patients who received SAE and were admitted to 2 major referral trauma centers under the same established algorithm for management of blunt splenic injuries. The demographics, angiographic findings, and factors for major complications after SAE were examined. Major complications were considered to be direct adverse effects arising from SAE that were potentially fatal or were capable of causing disability. Results: There were a total of 261 patients with blunt splenic injuries in this study. Of the 261 patients, 53 underwent SAE, 11 (21%) of whom were noted to have 12 major complications: 8 cases of postprocedural bleeding, 2 cases of total infarction, 1 case of splenic abscess, and 1 case of splenic atrophy. Patients older than 65 years were more susceptible to major complications after SAE. Conclusion: Splenic artery embolization is considered an effective adjunct to NOM in patients with blunt splenic injuries. However, risks of major complications do exist, and being elderly is, in part, associated with a higher major complication incidence.

Original languageEnglish
Pages (from-to)135-140
Number of pages6
JournalAmerican Journal of Emergency Medicine
Volume29
Issue number2
DOIs
Publication statusPublished - Feb 2011
Externally publishedYes

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Splenic Artery
Nonpenetrating Wounds
Incidence
Trauma Centers
Abscess
Infarction
Atrophy
Referral and Consultation
Demography
Hemorrhage

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Higher incidence of major complications after splenic embolization for blunt splenic injuries in elderly patients. / Wu, Shih Chi; Fu, Chih Yuan; Chen, Ray Jade; Chen, Yung Fang; Wang, Yu Chun; Chung, Ping Kuei; Yu, Shu Fen; Tung, Cheng Cheng; Lee, Kun Hua.

In: American Journal of Emergency Medicine, Vol. 29, No. 2, 02.2011, p. 135-140.

Research output: Contribution to journalArticle

Wu, Shih Chi ; Fu, Chih Yuan ; Chen, Ray Jade ; Chen, Yung Fang ; Wang, Yu Chun ; Chung, Ping Kuei ; Yu, Shu Fen ; Tung, Cheng Cheng ; Lee, Kun Hua. / Higher incidence of major complications after splenic embolization for blunt splenic injuries in elderly patients. In: American Journal of Emergency Medicine. 2011 ; Vol. 29, No. 2. pp. 135-140.
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abstract = "Background: Nonoperative management (NOM) of blunt splenic injuries has been widely accepted, and the application of splenic artery embolization (SAE) has become an effective adjunct to NOM. However, complications do occur after SAE. In this study, we assess the factors leading to the major complications associated with SAE. Materials and Methods: Focusing on the major complications after SAE, we retrospectively studied patients who received SAE and were admitted to 2 major referral trauma centers under the same established algorithm for management of blunt splenic injuries. The demographics, angiographic findings, and factors for major complications after SAE were examined. Major complications were considered to be direct adverse effects arising from SAE that were potentially fatal or were capable of causing disability. Results: There were a total of 261 patients with blunt splenic injuries in this study. Of the 261 patients, 53 underwent SAE, 11 (21{\%}) of whom were noted to have 12 major complications: 8 cases of postprocedural bleeding, 2 cases of total infarction, 1 case of splenic abscess, and 1 case of splenic atrophy. Patients older than 65 years were more susceptible to major complications after SAE. Conclusion: Splenic artery embolization is considered an effective adjunct to NOM in patients with blunt splenic injuries. However, risks of major complications do exist, and being elderly is, in part, associated with a higher major complication incidence.",
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