TREATMENT OF HYPERSPLENISM BY PARTIAL SPLENIC EMBOLIZATION THROUGH GASTRIC COLLATERALS

Posted By Ahmed Abdel Aal
TREATMENT OF HYPERSPLENISM BY PARTIAL SPLENIC EMBOLIZATION THROUGH GASTRIC COLLATERALS

a case of Chronic lymphocytic leukemia (CLL) with associated hypersplenism, that was referred to us for partial splenic embolization (PSE) because the patient was not a surgical candidate for splenectomy. During the procedure, we were not successful in catheterizing the splenic artery from the celiac trunk due to significant atherosclerotic disease, which posed technical difficulties. Therefore, we successfully managed to access the distal splenic artery through patent gastro-epiploic collateral circulation along the greater curvature of the stomach. Partial splenic embolization was successfully performed and resulted in improvement of the patient’s peripheral blood cell count as well as 60-70% reduction in the size of the spleen on follow up.

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