SIR 2024
Arterial Interventions and Peripheral Arterial Disease (PAD)
Jacob Ref, BS
Medical Student
University of Arizona
Financial relationships: Full list of relationships is listed on the CME information page.
Erika Yee, BS (she/her/hers)
Medical Student
Univeristy of Arizona, College of Medicine
Financial relationships: Full list of relationships is listed on the CME information page.
Lucas C. Struycken, MD
Fellow
Banner University Medical Center Tucson
Disclosure information not submitted.
Daniel Goldberg, MD
Assistant Professor
University of Arizona - Tucson
Disclosure information not submitted.
Gregory J. Woodhead, MD, PhD
Assistant Professor, Interventional Radiology
University of Arizona
Disclosure information not submitted.
Shamar Young, MD
Associate professor and Chief of Interventional Radiology
University of Arizona
Financial relationships: Full list of relationships is listed on the CME information page.
Jack Hannallah, MD, MBA, MPH
Assistant Professor
University of Arizona
Disclosure information not submitted.
93 patients who underwent SAE were analyzed for associated complications and stratified to groups in order to account for age. The elderly group (n = 20) and non-ederly group (n = 73) were compared to assess complication rate, SAE complication and LOH (days).
Complications noted in the elderly group included splenectomy (n= 4), rebleed (n= 3), and death (n= 1). Non-ederly group complications included splenectomy (n= 8), rebleed (n= 16), and death (n= 2).
The above results are referenced in Table 1.
Conclusion:
SAE whether performed distal or proximal is a safe and effective way to manage traumatic splenic injury or hypersplenism in patients ≥ 65 years old. When compared to the non-elderly group, the elderly group exhibited no significant statistical difference when it came to LOH, complication rates, rebleeding rates, and need for splenectomy after SAE. Regardless of splenic laceration grade and etiology (traumatic or atraumatic), distal or proximal SAE should be considered in patients ≥ 65 years of age.