Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome

Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome

Splenic steal syndrome (SSS) post liver transplant is a potential cause of graft dysfunction in the setting of peripheral hepatic arterial bed resistance and redirection of blood flow to a dominant splenic artery resulting in reduction of hepatic arterial inflow. We report utilization of balloon occ...

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Bibliographic Details
Main Authors: Jocelyn Wu, MD, Justin Kim, BS, Kwabena Yamoah, MD, Lealem Aderie, BA, Nariman Nezami, MD, Adam Fang, MD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Radiology Case Reports
Subjects:
Splenic steal syndrome
Liver transplant
Balloon occlusion
Hypoperfusion, Splenic artery
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013189
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Summary:Splenic steal syndrome (SSS) post liver transplant is a potential cause of graft dysfunction in the setting of peripheral hepatic arterial bed resistance and redirection of blood flow to a dominant splenic artery resulting in reduction of hepatic arterial inflow. We report utilization of balloon occlusion of the proximal splenic artery as an objective measure to confirm the diagnosis of SSS in a patient with orthotopic liver transplant followed by successful treatment with proximal splenic artery embolization using Gelfoam and Amplatzer vascular plug. Written informed consent for the publication of this case report was obtained from the patient.
ISSN:1930-0433

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