Keywords:
Interventional vascular, CT-Angiography, Radioembolisation, Acute, Trauma
Authors:
J. Edey, D. MacManus, A. Halder
DOI:
10.26044/ranzcr2022/R-0078
Results
Twenty-two splenic embolisation procedures were undertaken at our tertiary trauma institution over the twelve-month period between January 2021 to December 2021. 82% of splenic embolisations occurred in the setting of blunt splenic trauma. Mechanisms of injury included falls (41%), assault (24%), motorbike accident (18%), motor vehicle accident (12%) and crush injury (6%). 18% of injuries were AAST grade 5 and 59% were AAST grade 4. The remaining 23% were below AAST grade 4 but proceeded to embolisation given haemodynamic status or active bleed on CT. Embolisation methods included coiling (94%) and gelfoam particle embolisation (6%). 41% of cases utilised distal embolization, whilst 47% underwent proximal embolisation and 12% underwent both proximal and distal embolisation. The majority of cases were uncomplicated, however reported complications included coil detachment on deployment (1 case), repeat embolisation (1 case) and progression to splenectomy (1 case).