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

研究成果: 雜誌貢獻文章同行評審

8 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)135-140
頁數6
期刊American Journal of Emergency Medicine
29
發行號2
DOIs
出版狀態已發佈 - 2月 2011
對外發佈

ASJC Scopus subject areas

  • 急診醫學

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