Evaluation of Splenic Embolization in Patients with Portal Hypertension and Hypersplenism

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Outcomes of partial splenic embolization in patients with massive splenomegaly due to idiopathic portal hypertension

AIM To determine the outcomes of partial splenic embolization (PSE) for massive splenomegaly due to idiopathic portal hypertension (IPH). METHODS In this prospective study, we evaluated the characteristics and prognosis of consecutive patients with IPH who underwent PSE for all indications at a single medical center between June 2009 and January 2015. The inclusion criteria were: presence of ...

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Role of partial splenic arterial embolization for hypersplenism in patients with liver cirrhosis and thrombocytopenia.

BACKGROUND Hypersplenism is traditionally treated by surgical splenectomy. Transcatheter ablation of splenic parenchyma is an alternative treatment modality. METHODS We evaluated the efficacy and safety of partial splenic arterial embolization in 10 patients with chronic liver disease and hypersplenism with thrombocytopenia (platelet count <80,000/microL). RESULTS At six months follow up, m...

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Treatment of Hypersplenism by Partial Splenic Embolization Through Gastric Collaterals.

We report a case of Chronic lymphocytic leukemia (CLL) with associated hypersplenism, that was referred to us for partial splenic embolization (PSE) as the patient was not a surgical candidate for splenectomy. Initially, we were not successful in catheterizing the splenic artery from the celiac trunk due to significant atherosclerotic disease. Therefore, we successfully managed to access the di...

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Percutaneous splenic embolization of the splenic artery in the treatment of hypersplenism.

Percutaneous splenectomy was performed in 6 patients with hypersplenism. Peripheral blood cell counts improved in 5 of the patients. The authors review the indications, technique and complications of percutaneous splenic embolization. It is concluded that medical splenectomy is an effective method particularly to alleviate symptoms of hypersplenism.

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1982

ISSN: 0003-4932

DOI: 10.1097/00000658-198211000-00003