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World J Gastroenterol. Jan 14, 2014; 20(2): 555-560
Published online Jan 14, 2014. doi: 10.3748/wjg.v20.i2.555
Published online Jan 14, 2014. doi: 10.3748/wjg.v20.i2.555
Total splenic artery embolization for splenic artery aneurysms in patients with normal spleen
Er-Sheng Li, Ji-Xing Mu, Xiao-Min Li, Lan-Bin Xu, Tian-Chang Chai, Jun-Xiao Liu, Department of Radiology, The First Affiliated Hospital, Xingtai Medical College, Xingtai 054001, Hebei Province, China
Shuan-Meng Ji, Department of CT/MR, Xingtai People’s Hospital, Xingtai 054001, Hebei Province, China
Author contributions: Li ES and Mu JX contributed equally to this work; Li ES and Mu JX designed the research; Li ES, Ji SM, Li XM, Xu LB, Chai TC and Liu JX performed the research; Li ES and Mu JX provided new reagents/analytic tools; Li ES and Xu LB analyzed the data; Li ES wrote the paper.
Correspondence to: Ji-Xing Mu, MD, Department of Radiology, The First Affiliated Hospital, Xingtai Medical College, No. 376 Shunde Road, Xingtai 054001, Hebei Province, China. jxmuxt@163.com
Telephone: +86-319-3133571 Fax: +86-319-3687944
Received: October 10, 2013
Revised: November 10, 2013
Accepted: November 28, 2013
Published online: January 14, 2014
Processing time: 100 Days and 16.4 Hours
Revised: November 10, 2013
Accepted: November 28, 2013
Published online: January 14, 2014
Processing time: 100 Days and 16.4 Hours
Core Tip
Core tip: Total embolization of the splenic artery sometime must be performed to achieve complete occlusion of large or multiple aneurysms. Thirty-five patients were classified into two groups: coil embolization of the splenic artery with complete occlusion of the artery and aneurysms, and coil embolization of the aneurysmal sac with patency of the splenic artery. Except for shrinkage of splenic volume, no changes in white blood cell and platelet counts or liver function were found in the former group. These results suggest that total embolization of the splenic artery is a safe and feasible procedure for patients with splenic artery aneurysm and normal spleen.