Role of partial splenic embolization for hypersplenism in patients with liver cirrhosis and thrombocytopenia

Vu Le Minh1, Vu Hoai Linh1, Nguyen Mau Dinh1, Phan Nhat Anh1, Le Thanh Dung1,
1 Viet Duc Friendship Hospital

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Abstract

SUMMARY


Objective: To evaluate the safety and efficacy of partial splenic embolization (PSE) in treatment of hypersplenism due to cirrhosis.
Patients and Methods: From December 2014 to February 2017, 17 cirrhotic patients with splenomegaly who have thrombocytopenia were treated with PSE in Viet Duc Hospital.
Results: PSE was successfully performed in 17/17 patients with increased thrombocytes counts in the number post - PSE.
The splenic infarction volume < 50%, 50-70% and > 70% are achieved in 5/17 patients, 10/17 patients and 2/17 patients respectively. 17/17 patients experienced post-embolization
syndrome, 4/17 patients developed pleural effusion, 5/17 patients developed ascites, portal vein thrombosis was found in 1/17
patients.
Conclusion: PSE is a safe and efficient treatment of hypersplenism in patients with cirrhosis and thrombocytopenia.

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References

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