Hypersplenism Treated by Partial Splenic Embolization Using Guglielmi Detachable Coils

Intern Med. 2015;54(17):2179-83. doi: 10.2169/internalmedicine.54.4704. Epub 2015 Sep 1.

Abstract

A 52-year-old man underwent partial splenic embolization (PSE) for hypersplenism. The intrasplenic artery targeted for the embolization was large, and the distance between its trifurcated branches was short; therefore, Guglielmi detachable coils (GDC) 360° Complex Shape were used, as well as conventional metal coils, to prevent coil migration. GDC are equipped with a shape-memory function and are more physically stable than conventional metallic coils because they form three-dimensional loops. In this case, an ideal extent of the splenic infarction was successfully achieved using a small number of coils. This is the first report of the use of GDC in PSE for hypersplenism.

Publication types

  • Case Reports

MeSH terms

  • Embolization, Therapeutic / instrumentation*
  • Embolization, Therapeutic / methods
  • Equipment Design
  • Humans
  • Hypersplenism / pathology
  • Hypersplenism / therapy*
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / pathology
  • Liver Cirrhosis / therapy*
  • Male
  • Middle Aged
  • Splenic Artery / pathology*
  • Treatment Outcome