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Digestive Disease Interventions 2020; 04(01): 091-100
DOI: 10.1055/s-0040-1702998
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Splenic Artery Embolization for Nonocclusive Hepatic Artery Hypoperfusion

Zachary B. Jenner 
1   Department of Diagnostic & Interventional Radiology, University of California—Davis Medical Center, Sacramento, California
,
Ryan T. Di Geronimo 
1   Department of Diagnostic & Interventional Radiology, University of California—Davis Medical Center, Sacramento, California
,
Pilar Bayona Molano
2   Department of Radiology, Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, Missouri
,
Rex M. Pillai
1   Department of Diagnostic & Interventional Radiology, University of California—Davis Medical Center, Sacramento, California
› Author Affiliations
Further Information

Publication History

17 December 2019

05 January 2020

Publication Date:
02 March 2020 (online)

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Abstract

Various minimally invasive, surgical, and laparoscopic interventions are performed for treatment and management of splenic artery steal syndrome in liver transplant and cirrhotic patients. Common approaches include splenic artery banding, ligation, stenting, and embolization to increase hepatic arterial flow. Splenic artery embolization has undergone further development to facilitate timely diagnosis, increase efficacy, decrease adverse outcomes, and improve patient selection. We review the current diagnostic modalities and technical advancements of splenic artery embolization to improve hepatic arterial perfusion in patients with splenic artery steal syndrome.

Keywords

splenic artery steal syndrome - liver transplant - cirrhotic patient - nonocclusive hepatic artery hypoperfusion
 

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