# Transcatheter Arterial Embolization for Blunt Splenic Injury With Resuscitative Endovascular Balloon Occlusion of the Aorta: The Significance of Early Involvement of Radiologists

## TL;DR

This case report shows how early radiologist involvement helped save a spleen in a trauma patient using advanced techniques instead of surgery.

## Contribution

Highlights the use of REBOA followed by SAE as an alternative to splenectomy in trauma patients with early radiologist involvement.

## Key findings

- REBOA and SAE successfully stabilized a trauma patient in shock without splenectomy.
- Early radiologist involvement is critical for optimal trauma care outcomes.
- SAE under REBOA presents technical challenges but is feasible with proper expertise.

## Abstract

Splenectomy is a common procedure for managing splenic injury in patients with unstable vital signs. Transcatheter arterial embolization (TAE) has emerged as a limited alternative to splenectomy, although the role of TAE can be expanded upon the stabilization of vital signs. The current case report discusses a man in his 50s, in shock after a motor vehicle accident, who was successfully stabilized using resuscitative endovascular balloon occlusion of the aorta (REBOA), followed by splenic artery embolization (SAE) instead of splenectomy, with early involvement of diagnostic and interventional radiologists from the initial stage of care. We also discuss the difficulties of SAE under REBOA and the significance of the early involvement of radiologists in trauma care.