Normal
splenic artery pulsatility index(a$?1.0)###5(FN)###45(TN)###50(66.7%)
A
splenic artery aneurysm presenting with multiple episodes of upper gastrointestinal bleeding: A case report.
In spite of the similar outcomes between both the groups in our series of study, operation time was significantly shorter in the inferior-posterior approach group than in the other approach group, probably because surgeons spent more time on the exposure of the
splenic artery or stopping the bleeding in some cases of the other approach group.
De Martino RR and coworkers consider that the anomalies of the
splenic artery can be part of the celiac trunk anomalies.
Therefore, we made
splenic artery embolization to decrease the blood supply of the spleen.
Surgical management is indicated in patients who fail conservative treatment and
splenic artery embolization.
US-based medical device maker ArtVentive Medical Group, Inc.'s (OTCBB: AVTD) Endoluminal Occlusion System has seen its first use in the United States at The Johns Hopkins Hospital in Baltimore, MD, where Dr.'s Kelvin Hong and Anobel Tamrazi performed a
splenic artery occlusion using the ArtVentive EOS device, the company said on Tuesday.
We proceeded to perform catheter-directed angiography of the
splenic artery, which confirmed the diagnosis of
splenic artery pseudoaneurysm of a segmental branch of the upper splenic pole (Fig.
Experimental group (N = 19) Control group (N = 28) Gastric ulcers (N = 8) Duodenal ulcers (N = 7) Nasogastric or gastrostomy
Splenic artery pseudoaneurysm tube placement (N = 3) (N = 7) Gastric varices (N = 3) Surgical complication (N = 4) Gastric cancer (N = 2) Percutaneous complication * (N = 3) Metastasis to the stomach Pancreatitis (N = 2) (N = 1) Pancreatitis (N = 1) Hepatic artery pseudoaneurysm (N = 2) Hematemesis in setting of Pancreatic cancer (N = 1) anticoagulation (N = 1) Trauma (N = 1) Liver metastasis (N = 1) * Indicates complications arising from either percutaneous biopsy or percutaneous abscess drainage.
Three patients had pseudoaneurysms arising from the
splenic artery amongst which two patients had recent history pancreatitis.
Splenic embolization was first introduced in 1973, when autologous blood clot was used by Maddison [1] to produce
splenic artery embolization for hypersplenism treatment.
Measurement of the length of the coeliac trunk up to the left gastric, Measurement of the length of coeliac trunk up to common hepatic and/or
splenic artery, Measurement of coeliac trunk diameter, Distance between coeliac trunk and the superior mesenteric artery shows in Table 1 (Figure 1 & 2).