Splenic Embolization
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While transcatheter embolization of the spleen has shown promise in the treatment of a wide spectrum of disorders, the incidence of serious complications with this technique has limited its use as an alternative to operative splenectomy. In our institution 41 patients were treated with a modified technique involving partial splenic embolization, careful antibiotic prophylaxis, and adequate pain control. There was no mortality and only few instances of clinically significant complications: a splenic abscess in one patient, pancreatitis in one patient, severe pleural effusions in two patients, and pneumonia in five patients.
Evaluation of splenic embolization in patients with portal hypertension and hypersplenism.
Alwmark A, Bengmark S, Gullstrand P, Joelsson B, Lunderquist A, Owman T Ann Surg. 1982; 196(5):518-24.
PMID: 7125739 PMC: 1352782. DOI: 10.1097/00000658-198211000-00003.
Embolization of bleeding transverse pancreatic artery aneurysms.
Knight R, Kadir S, White Jr R Cardiovasc Intervent Radiol. 1982; 5(1):37-9.
PMID: 7083260 DOI: 10.1007/BF02552102.
Partial splenic embolization for painful splenomegaly.
Grassi C, Boxt L, Bettmann M Cardiovasc Intervent Radiol. 1987; 10(5):291-4.
PMID: 3119219 DOI: 10.1007/BF02578012.