[Preoperative embolization of the splenic artery in patients with blood system diseases].

Autor: Zakharov GN, Gotman LN, Danishian KI, Grzhimolovskiĭ AV
Jazyk: ruština
Zdroj: Terapevticheskii arkhiv [Ter Arkh] 2001; Vol. 73 (7), pp. 61-3.
Abstrakt: Aim: To develop and introduce X-ray endovascular preocclusion of the splenic artery in general surgical patients with different forms of cytopenias as preparation for further surgical treatment.
Materials and Methods: Data on 12 splenic arterial occlusions in patients with different diseases of the blood system.
Results: Despite the severity of the underlying process, the use of X-ray endovascular preocclusion of the splenic artery in patients with different hematological diseases made it possible to make the so-called bloodless splenectomy on short notice, then a required cavitary operation or in the immediate postembolization period if there were emergency indications or some time later if the patient's status allowed.
Conclusion: When patients with blood system diseases attended by thrombocytopenia, anemia, leukopenia are indicated to have surgical treatment of some contaminant diseases, it is necessary to perform X-ray endovascular splenic arterial occlusion at the first stage, then make a major intervention when blood parameters have improved.
Databáze: MEDLINE