Table 4 Pearls and Pitfalls of Splenic Artery Embolization
From: Review of proximal splenic artery embolization in blunt abdominal trauma
Plugs vs Coils | When performing PSAE, plugs may be to be technically easier and more precise than coils in the high-flow splenic artery can be technically challenging. |
Coils | When using coils, strong consideration should be given to use of detachable coils. |
If coils are used 0.035″ coils are preferred to 0.018″ coils given their higher radial strength. | |
Plugs | To place. An AVP-II, the appropriately sized sheath is advanced just beyond the dorsal pancreatic artery. The plug is then advanced through the sheath, and the sheath retracted, uncovering the plug. |
Once proper position of the plug has been determined, the plastic vise is attached to the delivery wire and turned counterclockwise until the plug is detatched. |