Perisplenic abscess formation after splenic artery embolization with gelfoam versus coil embolization

Evaluation of splenic artery embolization technique for blunt trauma

“…[ 4 ] In addition, due to the preparation of the gel foam slurry in room air, there is a higher possibility of introducing infectious pathogens. [ 8 9 ] Prior studies have demonstrated higher complication rates with gel foam embolization compared with coils. [ 8 9 ] This was suggested by our data set, but when comparing embolic choice in aggregate, there was no significant difference.…”

“…[ 8 9 ] Prior studies have demonstrated higher complication rates with gel foam embolization compared with coils. [ 8 9 ] This was suggested by our data set, but when comparing embolic choice in aggregate, there was no significant difference. This is likely due to a lack of power [ Table 2 ].…”

Update on Nonoperative Management of the Injured Spleen

“…As stated previously, patients can develop pancreatic necrosis or splenic abscesses depending on the distribution of ischemia, if there is distal migration of embolization coils or if gelfoam particles are used instead of vascular plugs or coils. 42 One must also remain vigilant for the possibility of rebleeding requiring re-intervention or splenectomy, particularly in high-grade injuries. Individuals with active extravasation of contrast into the peritoneal cavity have a high failure rate of nonoperative management and may be better off proceeding directly to splenectomy.…”