Gastric varices with splenic vein occlusion treated by splenic arterial embolization

Sato, Takahiro; Yamazaki, Katsu; Toyota, Jouji; Karino, Yoshiyasu; Ohmura, Takumi; Suga, Toshihiro

doi:10.1007/s005350050348

Cited by 35 publications

(26 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of partial splenic arterial embolization to manage variceal hemorrhage in patients with portal hypertension (Fig 12) has been described in a limited number of reports (23,(47)(48)(49). Embolization may be performed alone or in combination Figure 12.…”

Section: Results Of Partial Embolizationmentioning

confidence: 97%

Splenic Arterial Interventions: Anatomy, Indications, Technical Considerations, and Potential Complications

Madoff

Denys

Wallace³

et al. 2005

RadioGraphics

258

185

View full text Add to dashboard Cite

Splenic arterial interventions are increasingly performed to treat various clinical conditions, including abdominal trauma, hypersplenism, splenic arterial aneurysm, portal hypertension, and splenic neoplasm. When clinically appropriate, these procedures may provide an alternative to open surgery. They may help to salvage splenic function in patients with posttraumatic injuries or hypersplenism and to improve hematologic parameters in those who otherwise would be unable to undergo high-dose chemotherapy or immunosuppressive therapy. Splenic arterial interventions also may be performed to exclude splenic artery aneurysms from the parent vessel lumen and prevent aneurysm rupture; to reduce portal pressure and prevent sequelae in patients with portal hypertension; to treat splenic artery steal syndrome and improve liver perfusion in liver transplant recipients; and to administer targeted treatment to areas of neoplastic disease in the splenic parenchyma. As the use of splenic arterial interventions increases in interventional radiology practice, clinicians must be familiar with the splenic vascular anatomy, the indications and contraindications for performing interventional procedures, the technical considerations involved, and the potential use of other interventional procedures, such as radiofrequency ablation, in combination with splenic arterial interventions. Familiarity with the complications that can result from these interventional procedures, including abscess formation and pancreatitis, also is important.

show abstract

Section: Results Of Partial Embolizationmentioning

confidence: 97%

Splenic Arterial Interventions: Anatomy, Indications, Technical Considerations, and Potential Complications

Madoff

Denys

Wallace³

et al. 2005

RadioGraphics

258

185

View full text Add to dashboard Cite

show abstract

“…However, it is often difficult to determine whether surgical therapy should be undertaken in patients with advanced disease such as pancreatic carcinoma. PSE, which reduces blood flow through the splenic parenchyma, is another effective method of controlling bleeding from gastric varices secondary to splenic vein occlusion 13,27–29 . Although this technique can be complicated by pain, splenic abscess or septicemia, PSE is an attractive alternative treatment for gastric varices secondary to splenic vein occlusion in patients at high surgical risk.…”

Section: Discussionmentioning

confidence: 99%

Clinical and endoscopic features of gastric varices secondary to splenic vein occlusion

Sato

Yamazaki

Akaike

et al. 2008

Hepatology Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…Splenectomy was formerly considered the best treatment [11,14,15]. Endoscopic injection sclerotherapy in patients with GVs is more difficult to perform than when esophageal varices are involved [16]. Meanwhile, portal systemic shunting is not indicated because of normal portal pressure and hepatic function.…”

Section: Discussionmentioning

confidence: 99%

Massive variceal bleeding secondary to splenic vein thrombosis successfully treated with splenic artery embolization: a case report

et al. 2010

View full text Add to dashboard Cite

IntroductionSplenic vein thrombosis results in localized portal hypertension called sinistral portal hypertension, which may also lead to massive upper gastrointestinal bleeding. Symptomatic sinistral portal hypertension is usually best treated by splenectomy, but interventional radiological techniques are safe and effective alternatives in the management of a massive hemorrhage, particularly in cases that have a high surgical risk.Case presentationWe describe a 23-year-old Greek man with acute massive gastric variceal bleeding caused by splenic vein thrombosis due to a missing von Leiden factor, which was successfully managed with splenic arterial embolization.ConclusionsInterventional radiological techniques are attractive alternatives for patients with a high surgical risk or in cases when the immediate surgical excision of the spleen is technically difficult. Additionally, surgery is not always successful because of the presence of numerous portal collaterals and adhesion. Splenic artery embolization is now emerging as a safe and effective alternative to surgery in the management of massive hemorrhage from gastric varices due to splenic vein thrombosis, which often occurs in patients with hypercoagulability.

show abstract

Gastric varices with splenic vein occlusion treated by splenic arterial embolization

Cited by 35 publications

References 17 publications

Splenic Arterial Interventions: Anatomy, Indications, Technical Considerations, and Potential Complications

Splenic Arterial Interventions: Anatomy, Indications, Technical Considerations, and Potential Complications

Clinical and endoscopic features of gastric varices secondary to splenic vein occlusion

Massive variceal bleeding secondary to splenic vein thrombosis successfully treated with splenic artery embolization: a case report

Contact Info

Product

Resources

About