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Splenic Artery Embolization for Non-surgical Splenectomy

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Therapeutic Embolization

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Abstract

Splenic artery embolization is a safe and effective alternative to surgical splenectomy, especially in patients who are poor surgical candidates due to associated co-morbidities.

It is an especially useful for the treatment of variceal bleeding due to hepatic cirrhosis. Splenic trauma can also be treated by embolization of the splenic artery. This treatment modality is especially useful where selective embolization is needed as when pseudoaneurysms of the splenic artery. These can be selectively embolized which enables tissue preservation without the need for splenectomy.

In clinical situations where hypersplenism prevents use of anti platelets for concomitant percutaneous coronary revascularization, splenic artery embolization is a safe alternative to surgical splenectomy prior to coronary revascularization, as in this scenario, a high grade coronary stenosis would be a relative contra-indication for surgical splenectomy.

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Authors and Affiliations

  1. Department of Cardiology, St. John’s Medical College Hospital, Bangalore, India

    Kiron Varghese

  2. St. John’s Medical College Hospital, Bangalore, India

    Srilakshmi Adhyapak

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  1. Kiron Varghese
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Varghese, K., Adhyapak, S. (2017). Splenic Artery Embolization for Non-surgical Splenectomy. In: Therapeutic Embolization. Springer, Cham. https://doi.org/10.1007/978-3-319-42494-1_5

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  • DOI: https://doi.org/10.1007/978-3-319-42494-1_5

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