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

研究成果: 雜誌貢獻文章

46 引文 (Scopus)

摘要

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.

原文英語
頁(從 - 到)476-482
頁數7
期刊World Journal of Surgery
32
發行號3
DOIs
出版狀態已發佈 - 三月 2008
對外發佈Yes

指紋

Nonpenetrating Wounds
Splenic Artery
Splenic Infarction
Therapeutics
Splenectomy
Trauma Centers
Pleural Effusion
Atrophy
Medical Records
Emergencies
Fever
Hemorrhage

ASJC Scopus subject areas

  • Surgery

引用此文

Complications associated with embolization in the treatment of blunt splenic injury. / Wu, Shih Chi; Chen, Ray Jade; Yang, Albert D.; Tung, Cheng Cheng; Lee, Kun Hua.

於: World Journal of Surgery, 卷 32, 編號 3, 03.2008, p. 476-482.

研究成果: 雜誌貢獻文章

Wu, Shih Chi ; Chen, Ray Jade ; Yang, Albert D. ; Tung, Cheng Cheng ; Lee, Kun Hua. / Complications associated with embolization in the treatment of blunt splenic injury. 於: World Journal of Surgery. 2008 ; 卷 32, 編號 3. 頁 476-482.
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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.",
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