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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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
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013189
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author Jocelyn Wu, MD
Justin Kim, BS
Kwabena Yamoah, MD
Lealem Aderie, BA
Nariman Nezami, MD
Adam Fang, MD
author_facet Jocelyn Wu, MD
Justin Kim, BS
Kwabena Yamoah, MD
Lealem Aderie, BA
Nariman Nezami, MD
Adam Fang, MD
author_sort Jocelyn Wu, MD
collection DOAJ
description 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.
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series Radiology Case Reports
spelling doaj-art-ff829c9986ce4e8d9cc36b817afa2d712025-01-18T05:03:54ZengElsevierRadiology Case Reports1930-04332025-03-0120313541358Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndromeJocelyn Wu, MD0Justin Kim, BS1Kwabena Yamoah, MD2Lealem Aderie, BA3Nariman Nezami, MD4Adam Fang, MD5University of Maryland School of Medicine, Baltimore, MD, USAUniversity of Maryland School of Medicine, Baltimore, MD, USAUniversity of Maryland School of Medicine, Department of Diagnostic Radiology and Nuclear Medicine, Division of Vascular and Interventional Radiology, Baltimore, MD, USAUniversity of Maryland School of Medicine, Baltimore, MD, USAMedStar Georgetown University Hospital, Washington, DC, USAUniversity of Maryland School of Medicine, Department of Diagnostic Radiology and Nuclear Medicine, Division of Vascular and Interventional Radiology, Baltimore, MD, USA; Corresponding author.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.http://www.sciencedirect.com/science/article/pii/S1930043324013189Splenic steal syndromeLiver transplantBalloon occlusionHypoperfusion, Splenic artery
spellingShingle Jocelyn Wu, MD
Justin Kim, BS
Kwabena Yamoah, MD
Lealem Aderie, BA
Nariman Nezami, MD
Adam Fang, MD
Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome
Radiology Case Reports
Splenic steal syndrome
Liver transplant
Balloon occlusion
Hypoperfusion, Splenic artery
title Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome
title_full Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome
title_fullStr Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome
title_full_unstemmed Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome
title_short Celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome
title_sort celiac trunk angiography with balloon occlusion of splenic artery for diagnosis and treatment of splenic steal syndrome
topic Splenic steal syndrome
Liver transplant
Balloon occlusion
Hypoperfusion, Splenic artery
url http://www.sciencedirect.com/science/article/pii/S1930043324013189
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