Partial splenic embolization in the treatment of hypersplenism

Splenic Artery Embolization as an Adjunctive Procedure for Portal Hypertension

“…[2][3][4][5] Six years after this initial report, Spigos et al treated 13 patients with partial splenic embolization using antibiotic coverage and postembolization pain control. 6 Following the adoption of partial embolization and antibiotic coverage, multiple case reports and nonrandomized series reported a reduction in both morbidity and mortality rates compared with complete splenic embolization. [7][8][9][10][11][12][13][14][15] Current indications for splenic embolization include treatment of portal hypertension and control of splenic hemorrhage from trauma or prior to surgical resection.…”

Partial splenic embolization in a child with hereditary spherocytosis

“…She needed blood transfusions on two occasions due to persistent anaemia, with Hb values between 6.8-9 g/dl. PSE was performed following the Spigos protocol [8].Peripheral blood cell counts were repeated on days 1, 3, 7 and 15, and then 1, 3, 6, and 12 months after PSE (see Table 1). Abdominal ultrasound 1 month after PSE showed a 17% reduction in spleen size, with embolization of approximately 75% of the spleen.…”

“…The procedure was initially associated with significant morbidity and mortality, but subsequent series report substantially improved results [6]. We performed the embolization technique described by Spigos [1,3,6,8] because it has a very low risk of complications, although Israel et al [5] recently reported a lower rate of complications using polyvinyl alcohol.The increase in haemoglobin values found in our patient has been observed in patients affected by other diseases who have required PSE [5]. The thrombocytosis observed in our patient during the first 15 days after PSE that returned to normal values over 3 months, has been previously reported [3,5].…”

“…The procedure was initially associated with significant morbidity and mortality, but subsequent series report substantially improved results [6]. We performed the embolization technique described by Spigos [1,3,6,8] because it has a very low risk of complications, although Israel et al [5] recently reported a lower rate of complications using polyvinyl alcohol.…”

“…She needed blood transfusions on two occasions due to persistent anaemia, with Hb values between 6.8-9 g/dl. PSE was performed following the Spigos protocol [8].…”