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Splenic artery embolization prior to splenectomy in end‐stage polycythemia vera
Author(s) -
Hocking William G.,
Machleder Herbert I.,
Golde David W.
Publication year - 1980
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/ajh.2830080113
Subject(s) - splenectomy , medicine , polycythemia vera , splenic artery , embolization , stage (stratigraphy) , cardiology , radiology , spleen , biology , paleontology
Abstract A patient with polycythemia rubra vera and myeloid metaplasia required splenectomy because of local symptoms attributable to a massively enlarged spleen. Preoperative embolization of the splenic circulation with inert materials was performed to reduce splenic size and vascularity in order to permit safe splenectomy. This case illustrates the utility of preoperative splenic embolization when routine splenectomy is contraindicated for technical reasons. The hazards of this technique and guidelines for its clinical use are outlined.