Preliminary trial of partial splenic embolization via radial artery approach

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  • Kita Ryuichi
    Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital
  • Okai Natsuki
    Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital
  • Miyake Tomohiro
    Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital
  • Fujiwara Yuya
    Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital
  • Sakamoto Azusa
    Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital
  • Komekado Hideyuki
    Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital
  • Kimura Toru
    Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital
  • Marusawa Hiroyuki
    Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital

Bibliographic Information

Other Title
  • 橈骨動脈アプローチによる部分的脾動脈塞栓術の初期検討
  • トウコツ ドウミャク アプローチ ニ ヨル ブブンテキヒドウミャク ソクセンジュツ ノ ショキ ケントウ

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Description

<p>Partial splenic embolization (PSE) through radial artery utilizing 5 Fr. 125 cm catheter and 1.9 Fr. 150 cm or 1.7 Fr. 165 cm microcatheter has been conducted in six liver cirrhosis patients with splenomegaly. After inserting the catheters into the splenic artery, gelatin sponge particle and/or pushable coil embolization was performed in splenic peripheral branches. After removing the sheath, a compression wristband was utilized to stem the bleeding in the radial punctuated region. Patients were able to move immediately following the treatment and did not require any bed rest. In all, 65%-80% of the spleen's volume was embolized effectively, and no adverse events occurred during the procedure. Our data demonstrated radial technique could bring safe and satisfactory results for PSE with less discomfort for the patients after the method.</p>

Journal

  • Kanzo

    Kanzo 64 (2), 74-77, 2023-01-31

    The Japan Society of Hepatology

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