Splenic Artery Embolization in Living Donor Liver Transplant Recipients: Indications, Safety and Clinical Outcomes.

• Tác giả: Shaleen Agarwal, Bharat Aggarwal, Shahnawaz Bashir, Subhash Gupta, Sanjiv Saigal, Ramkrishna K Singh, G P Venkat Choudary
• Ngôn ngữ: eng
• Thông tin xuất bản: India : Journal of clinical and experimental hepatology , 2025
• Bộ sưu tập: NCBI
• ID: 682878

Tóm tắt

 PURPOSE: Splenic artery embolization (SAE) is a minimally invasive interventional radiology (IR) procedure that plays an important role in the management of complications in a certain subgroup of liver transplant recipients. SAE is technically of two types - proximal (P-SAE) and distal (D-SAE). There is limited data regarding the role of SAE in liver transplant recipients. The purpose of this study was to describe the role and outcomes of SAE in LDLT recipients based on the indications and the type of procedure used. MATERIAL AND METHODS: Twenty-seven consecutive patients who underwent SAE after LDLT at our institute were retrospectively reviewed. Patients were categorized into two groups - those who underwent P-SAE (n = 7) and D-SAE (n = 20). The embolic agents used were coils or plugs in the P-SAE group
  and poly vinyl alcohol (PVA) particles in the D-SAE group. RESULTS: The median follow-up of the study population was 101 days. The mean platelet and lymphocyte counts improved markedly after SAE ( CONCLUSION: Our results support the use of P-SAE for the management of splenic artery steal and small-for-size graft syndromes
  and D-SAE for the management of hypersplenism and refractory ascites. Both procedures are safe and effective and the decision to perform proximal or distal SAE should be based on the indications.