<原著>脾機能亢進症に対する経皮的脾動脈塞栓について

概要

論文の詳細を見る
Splenomegaly with hypersplenism in a debilitated patient has been a serious problem. Although splenectomy is advocated for hypersplenism, it is too risky to explore such a patient and to remove the spleen. The clinical utility of percutaneous angiographic embolization of the splenic artery was first described by Maddison in 1973,followed by several reports (Table 2). In the review of these literatures, total embolization of the splenic artery develops massive infarction of the spleen with many sequelae. If the embolization is expected to perform "nonsurgical splenectomy" for patients associated with serious problems, the embolization should be made at the peripheral branches of the splenic artery and the area of infarcted spleen should be partial. Whereas, if the embolization procedure is considered prior to surgical splenectomy for the purpose of safer operation avoiding bleeding and ceasing preoperative pancytopenia, the surgery should be performed as soon as the effect of embolization has been confirmed.
近畿大学の論文
1982-12-25