Vasc Spec Int.  2024 Jun;40(2):18. 10.5758/vsi.240030.

Splenic Arterial Embolization for Trauma and Beyond: A Case Series

• Choy CH
• Lee YS
• Cheung PL
• Ho CH
• Siu JCW

• KMID: 2557692
• DOI: http://doi.org/10.5758/vsi.240030

Abstract

Splenic artery embolization plays an important role in the management of various medical and surgical conditions that are non-traumatic in etiology, in addition to its well-established and widely discussed role in managing splenic trauma. In nontraumatic emergencies of catastrophic bleeding originating from the spleen or splenic artery, splenic artery embolization can be effective in achieving hemostasis as a definitive management, temporary stabilizing measure, or preoperative optimization technique. In addition to emergency clinical conditions, splenic artery embolization can be performed electively as an alternative to splenectomy for managing patients with hypersplenism. Herein, we report 6 cases of splenic artery embolization performed at our center to highlight its various indications. This article aims to demonstrate the role of splenic artery embolization in different clinical scenarios and the considerations behind the techniques employed through illustrative cases.

Keyword

Splenic artery; Therapeutic embolization; False aneurysm; Splenic rupture; Hypersplenism