Archives of surgery (Chicago. 1960), 1983-08, Vol.118 (8), p.897
1983
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Details
- Autor(en) / Beteiligte
- Titel
- Percutaneous splenic artery occlusion for portal hypertension. A new mechanical technique for hypersplenism
- Ist Teil von
- Archives of surgery (Chicago. 1960), 1983-08, Vol.118 (8), p.897
- Ort / Verlag
- United States
- Erscheinungsjahr
- 1983
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- We studied 16 patients with hypersplenism, splenomegaly, and moderate nonbleeding portal hypertension with the purpose of discovering a hyperdynamic component associated with splenomegaly. We treated the patients' splenic hyperdynamic component and hypersplenism with a splenectomy. We measured wedge hepatic vein pressure (WHVP) before and after superior mesenteric artery occlusion by a balloon catheter, and after splenic artery (SA) occlusion by a balloon catheter. In 11 patients, following SA temporary occlusion an average WHVP reduction of 10.4 cm saline was obtained, and SA occlusion by Gianturco's coils was performed to obtain a gradual and segmentary occlusion. No colliquative phenomena were observed, and a stable decrease of WHVP with a marked improvement of peripheral cytopenia was obtained.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0004-0010DOI: 10.1001/archsurg.1983.01390080005001Titel-ID: cdi_pubmed_primary_6870519
- Format
- –
- Schlagworte
- Adult, Catheterization, Embolization, Therapeutic, Female, Hepatic Veins, Humans, Hypersplenism - complications, Hypersplenism - surgery, Hypersplenism - therapy, Hypertension, Portal - etiology, Hypertension, Portal - therapy, Male, Mesenteric Arteries, Methods, Pressure, Splenectomy, Splenic Artery, Splenomegaly - complications, Splenomegaly - physiopathology, Splenomegaly - therapy