What is a splenic embolization?

Splenic (artery) embolization is an endovascular technique for treatment of splenic and splenic artery pathology as an alternative to splenic artery ligation or splenectomy. It often results in successfully treating the underlying pathology, while maintaining at least partial splenic function.

When is splenic embolization needed?

The objective of splenic arterial embolization is to improve the results of nonsurgical management (,8). Indications for splenic arterial embolization vary, depending on local management protocols. The most widely accepted indication for this procedure is evidence of arterial injury on CT scans.

Is splenic embolization painful?

Postembolization syndrome of fever, left upper abdominal pain, nausea, and anorexia are extremely common after splenic artery embolization. All patients should be given patient-controlled analgesia (PCA) for pain control.

What happens to the spleen after embolization?

Splenic function is preserved after splenic embolization (Bessoud et al. 2007; Olthof et al. 2014). Preserved phagocytosis is confirmed by the absence of Howell-Jolly bodies (abdormal bsophilic nuclear remnants withing red blood cells due to deficient phagocytosis) after splenic embolization (Olthof et al.

Does spleen work after embolization?

All studies used different parameters to assess splenic function. None of them reported a OPSI after splenic embolization. Eleven studies found a preserved splenic function after SAE, in both adults and children. Conclusion: All but one studies on the long term effects of SAE indicate a preserved splenic function.

How long does post embolization syndrome last?

In patients treated with uterine artery embolization, it has been reported to occur in one third of the cases. PES usually occurs within 24–48 hr of the procedure. The syndrome is self-limiting and usually resolves within 2 days but may last up to 7 days after the procedure 2-4, 11-14).

What is partial splenic embolization?

Partial splenic embolization (PSE) is a non-surgical procedure developed to treat hypersplenism as a result of hepatic disease and thus avoid the disadvantages of splenectomy. A femoral artery approach is used for selective catheterization of the splenic artery.