Interventional Radiology: Partial Splenic Embolization

Management of Thrombocytopenia with Partial Splenic Embolization in Liver Cirrhosis

“…leukocyte and platelet counts, PSE is a simple and minimally invasive procedure and can be an effective option for patients who are at risk for surgery or for whom splenectomy is contraindicated. In research byTaniai et al (2019), the number of leukocytes increased by 51% in the first month and 30% in 6 months. The number of erythrocytes increased was found at 3 months after PSE, increased significantly at 6 months after the procedure and could even increase up to 7.5 years 9,11,20.…”

“…In research byTaniai et al (2019), the number of leukocytes increased by 51% in the first month and 30% in 6 months. The number of erythrocytes increased was found at 3 months after PSE, increased significantly at 6 months after the procedure and could even increase up to 7.5 years 9,11,20. Research byZaitoun et al in 2021 on 179 patients divided into 3 groups underwent PSE for the management of hypersplenism.…”

“…Tajiri reported that cholinesterase activity and serum albumin increased ammonia levels after all therapy was carried out. 11,20,27 Long-term monitoring is carried out for up to 1 year after the procedure to assess responses such as recurrent variceal bleeding, bleeding at other sites such as gingiva or epistaxis, and the ability to respond to the planned intervention. Laboratory examination after the PSE procedure is in the form of a complete blood picture to assess the number of erythrocytes, leukocytes, and platelets, which are assessed every 2 weeks, 1 month, 6 months, and 1 year after the PSE procedure.…”

“…Patients with a history of asthma and kidney disorders should be given an adapted contrast agent. 9,11 Complications of the procedure in the form of minor complications can include pain, fever, vomiting, and major complications can include ascites, pleural effusion, splenic abscess, bacterial peritonitis, variceal bleeding, and portal vein thrombosis. So, in post-procedure monitoring, you must check for symptoms and signs that may appear related to these complications.…”