Hypersplenism Treated by Partial Splenic Embolization Using Guglielmi Detachable Coils.
A 52-year-old man underwent partial splenic embolization (PSE) for hypersplenism. The intrasplenic artery targeted for the embolization was large, and the distance between its trifurcated branches was short; therefore, Guglielmi detachable coils (GDC) 360° Complex Shape were used, as well as conventional metal coils, to prevent coil migration. GDC are equipped with a shape-memory function and are more physically stable than conventional metallic coils because they form three-dimensional loops. In this case, an ideal extent of the splenic infarction was successfully achieved using a small number of coils. This is the first report of the use of GDC in PSE for hypersplenism.
Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Japan.
Shunichi
S
Matsuoka
Shinya
S
Kamimura
Taku
T
Mizutani
Shoichi
S
Miyazawa
Naoki
N
Matsumoto
Mitsuhiko
M
Moriyama
D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D006801:Humans; D006971:Hypersplenism / Q000473:pathology / Q000628:therapy*; D008103:Liver Cirrhosis / Q000150:complications / Q000473:pathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013157:Splenic Artery / Q000473:pathology*; D016896:Treatment Outcome