PURPOSE: To evaluate the safety and feasibility of transsplenic portal vein catheterization. MATERIAL AND METHODS: Under ultrasonic guidance, percutaneous transsplenic splenic vein catheterization was performed in 17 patients. Two of the patients had minimal and 5 moderate ascites. In 11 patients, the platelet counts were over 50000/mm3 and the coagulation time normal or mildly prolonged, while 6 patients had either platelet counts of less than 50000/mm3 or moderately prolonged coagulation level. RESULTS: Transsplenic portal catheterizations were successfully performed in 16 of the 1/patients (one failed because of small splenic size). Procedure-related complications occurred in 3 patients with 2 requiring one unit of packed RBC transfusion. The third patient accumulated minimal fluid in the left pleural space. Imaging studies within one week of the procedure were made in 8 patients. These examinations revealed an intrasplenic hematoma in 2 patients. One patient had a small amount of hemoperitoneum. No major complications occurred. CONCLUSION: Transsplenic portal venous catheterization is a safe and feasible procedure.
PURPOSE: To evaluate the safety and feasibility of transsplenic portal vein catheterization. MATERIAL AND METHODS: Under ultrasonic guidance, percutaneous transsplenic splenic vein catheterization was performed in 17 patients. Two of the patients had minimal and 5 moderate ascites. In 11 patients, the platelet counts were over 50000/mm3 and the coagulation time normal or mildly prolonged, while 6 patients had either platelet counts of less than 50000/mm3 or moderately prolonged coagulation level. RESULTS: Transsplenic portal catheterizations were successfully performed in 16 of the 1/patients (one failed because of small splenic size). Procedure-related complications occurred in 3 patients with 2 requiring one unit of packed RBC transfusion. The third patient accumulated minimal fluid in the left pleural space. Imaging studies within one week of the procedure were made in 8 patients. These examinations revealed an intrasplenic hematoma in 2 patients. One patient had a small amount of hemoperitoneum. No major complications occurred. CONCLUSION: Transsplenic portal venous catheterization is a safe and feasible procedure.
Authors: A Dogar; K Ullah; Sh Uddin; Y Memon; M Zafar; H Bilal; A Shoaib; A Ghaffar; S Hasnain; Q Soomro Journal: Int J Organ Transplant Med Date: 2021
Authors: Ulrich Grosse; Klaus Brechtel; Dominik Ketelsen; Roland Syha; Gerd Grözinger; Fabian Springer; Christoph Thomas Journal: BMC Res Notes Date: 2015-05-08