Falappa P G, Cotroneo A R, De Cinque M, Maresca G, Patané D, Bonomo L
Istutito di Radiologia, Università Cattolica, Roma.
Radiol Med. 1988 May;75(5):453-8.
Over the last four years the authors performed transcatheter embolization of the splenic artery by Gianturco coils in 32 consecutive cirrhotic patients with portal hypertension, splenomegaly, cytopenia and gastro-esophageal varices endoscopically proved. This procedure was especially useful for treatment of splenomegaly and cytopenia because a constant reduction of spleen dimensions and increase in platelet count were registered. The effectiveness of transcatheter embolization and follow-up are based on clinic, hematologic and sonographic findings. We believe sonographic monitoring to be very useful both to evaluate splenomegaly and signs of portal hypertension and to reveal splenic complications (abscesses). We never registered severe complications.
在过去四年中，作者对32例连续的肝硬化门静脉高压、脾肿大、血细胞减少且经内镜证实有胃食管静脉曲张的患者，使用Gianturco弹簧圈行经导管脾动脉栓塞术。该手术对脾肿大和血细胞减少的治疗特别有用，因为脾脏尺寸持续缩小且血小板计数增加。经导管栓塞术的有效性及随访基于临床、血液学和超声检查结果。我们认为超声监测对于评估脾肿大和门静脉高压体征以及发现脾脏并发症（脓肿）非常有用。我们从未记录到严重并发症。
