Predictive factors of platelet increase and complications after percutaneous trans-arterial partial splenic embolization for hypersplenism in chronic liver disease patients

Autor: Walid M. Hussein, Ahmed Tohamy Ahmed, Magdy M. El-Nesr, Talal A. Amer, Mohammad R. Habba
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: The Egyptian Journal of Radiology and Nuclear Medicine, Vol 48, Iss 2, Pp 393-401 (2017)
Druh dokumentu: article
ISSN: 0378-603X
DOI: 10.1016/j.ejrnm.2017.01.010
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.
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