Abstract:
PURPOSE:To estimate the effect of splenic artery embolization (SAE) on blood flow in orthotopic liver transplantation (OLT) recipients with splenic artery steal syndrome (SASS) based on changes in caliber of related arteries upon serial computed tomography (CT) scans. METHODS:Between 2004 and 2007, nine OLT recipients with SASS underwent SAE. They had CT scans before and after SAE: short-, mid-, and long-term, ie, approximately 1 week, 1 month, and 1 year, respectively. The diameters of the celiac axis (CA), common hepatic artery (CHA), and splenic artery (SA) were measured with arterial phase of each CT scan and the ratios of SA to CHA diameter (SA/CHA) calculated to analyze their changes during the follow-up period. RESULTS:The diameters of celiac axis, CHA, and SA and SA/CHA changed most rapidly during the short-term period. The CHA diameter significantly increased short-term post-SAE by CT and slightly decreased thereafter. However, the mid-term and long-term post-SAE CT values were still significantly greater than those on the pre-SAE CT. The SA diameter steadily decreased throughout the follow-up. The SA/CHA decreased until the mid-term. The SA diameter and SA/CHA were significantly smaller upon mid-term and long-term post-SAE CT compared with those at pre-SAE CT. CONCLUSIONS:The effect of SAE to improve hepatic arterial flow in OLT recipients with SASS might be expected for at least approximately one year. The effect maximally occurred during the short-term after SAE on the basis of changes in the caliber of related arteries upon CT.
journal_name
Transplant Procjournal_title
Transplantation proceedingsauthors
Kim JH,Kim KW,Gwon DI,Ko GY,Sung KB,Lee J,Shin YM,Song GW,Hwang S,Lee SGdoi
10.1016/j.transproceed.2011.02.022subject
Has Abstractpub_date
2011-06-01 00:00:00pages
1790-3issue
5eissn
0041-1345issn
1873-2623pii
S0041-1345(11)00328-9journal_volume
43pub_type
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pub_type: 杂志文章,meta分析,评审
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更新日期:2013-11-01 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2004-06-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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更新日期:2005-01-01 00:00:00
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更新日期:2009-09-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2003-08-01 00:00:00