TY  - JOUR
A1  - Caporali, Cristian
A1  - Turco, Laura
A1  - Prampolini, Francesco
A1  - Quaretti, Pietro
A1  - Bianchini, Marcello
A1  - Saltini, Dario
A1  - Miceli, Francesca
A1  - Casari, Federico
A1  - Felaco, Davide
A1  - García-Pagán, Juan Carlos
A1  - Trebicka, Jonel
A1  - Senzolo, Marco
A1  - Guerrini, Gian Piero
A1  - Di Benedetto, Fabrizio
A1  - Torricelli, Pietro
A1  - Villa, Erica
A1  - Schepis, Filippo
T1  - Proximal splenic artery embolization to treat refractory ascites in a patient with cirrhosis
T2  - Hepatology
N2  - Since the early 1970s several studies have reported distal splenic artery embolization, better known as partial spleen embolization (PSE), as an efficacious treatment of portal hypertensive variceal bleeding and hypersplenism in cirrhosis.(1, 2) However, the effect of PSE on portal pressure is secondary to the induction of splenic infarction. Depending on both the infarct volume and possible infection, PSE can induce serious complications including death.(2, 3) On the other hand, proximal splenic artery embolization (PSAE), which mimics surgical splenic artery ligation, prevents large infarction of the spleen, favoring collateral perfusion of its intact distal vasculature.(3) For this, PSAE has been extensively preferred over PSE for reducing portal hyperflow and treating refractory ascites (RA) after whole or partial liver transplantation (LT).(3, 4) We report here a case of PSAE used to treat RA in a patient with cirrhosis not eligible for transjugular intrahepatic portosystemic shunt (TIPS) and LT.
Y1  - 2021
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/63954
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-639543
SN  - 1527-3350
VL  - 74
IS  - 6
SP  - 3534
EP  - 3538
PB  - Wiley Interscience
CY  - New York, NY [u.a.]
ER  -