Skip to main content

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.