Predictive factors of platelet increase and complications after percutaneous trans-arterial partial splenic embolization for hypersplenism in chronic liver disease patients
| Autor: | Mohammad R. Habba, Ahmed Tohamy Ahmed, Talal Amer, Magdy M. El-Nesr, Walid M. Hussein |
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| Rok vydání: | 2017 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty lcsh:R895-920 medicine.medical_treatment Serum albumin Infarction Splenic artery Chronic liver disease Hypersplenism 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Platelet count increase medicine.artery medicine Radiology Nuclear Medicine and imaging Platelet Embolization Prospective cohort study Infarction rate biology business.industry medicine.disease Partial Splenic Embolization (PSE) Radiology Nuclear Medicine and imaging Splenic infarction biology.protein Polyvinyl alcohol (PVA) 030211 gastroenterology & hepatology Radiology business |
| Zdroj: | The Egyptian Journal of Radiology and Nuclear Medicine, Vol 48, Iss 2, Pp 393-401 (2017) |
| ISSN: | 0378-603X |
| Popis: | Purpose: To identify predictive factors for platelets normalization and major complications associated with partial splenic embolization (PSE) in patients with chronic liver disease and hypersplenism. Methods and materials: A prospective study included 30 patients were subjected to pre-embolization abdominal US and laboratory testing (WBC, Hemoglobin, Platelet Count, T. Bilirubin, AST, ALT, S. Albumin). PSE were done by super-selective catheterization of splenic artery and embolization by Polyvinyl alcohol with targeted therapeutic splenic infarction rate (>30% to 8 remained significant predictors for major complication (p = 0.035). Conclusion: Platelet count normalization could be achieved by increasing infraction rate to 67–76%. Child Score and serum albumin are the predictive factor for complications. |
| Databáze: | OpenAIRE |
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