Evaluation of splenic infarction ratio and platelet increase ratio after partial splenic artery embolization-Reference-Cited by-同舟云学术

Evaluation of splenic infarction ratio and platelet increase ratio after partial splenic artery embolization

Published:2023-08 Issue:8 Volume:51 Page:
ISSN:0300-0605
Container-title:Journal of International Medical Research
language:en
Short-container-title:J Int Med Res

Author:

Ueda Junji¹^ORCID,Mamada Yasuhiro¹,Taniai Nobuhiko²,Yoshioka Masato¹,Matsushita Akira¹,Mizutani Satoshi²,Kawano Youichi¹,Shimizu Tetsuya¹^ORCID,Kanda Tomohiro³,Takata Hideyuki²,Furuki Hiroyasu³,Aoki Yuto⁴,Kawashima Manpei¹,Irie Toshiyuki¹,Ohno Takashi¹,Haruna Takahiro¹,Yoshida Hiroshi¹

Affiliation:

1. Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-5-1, Sendagi, Bunkyo-ku, Tokyo, Japan

2. Department of Gastrointestinal Surgery, Nippon Medical School Musashi Kosugi Hospital, 1-396 Kosugi, Nakahara-ku, Kawasaki city, Kanagawa, Japan

3. Department of Surgery, Nippon Medical School Tama Nagayama Hospital, 1-7-1, Nagayama, Tama-city, Tokyo, Japan

4. Department of Gastrointestinal Surgery, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari Inzai, Chiba, Japan

Abstract

Objective The spleen is part of the lymphatic system and is one of the least understood organs of the human body. It is involved in the production of blood cells and helps filter the blood, remove old blood cells, and fight infection. Partial splenic artery embolization (PSE) is widely used to treat pancytopenia and portal hypertension. The efficacy of PSE for improving thrombocytopenia has been well demonstrated. In this study, we evaluated the splenic infarction ratio and platelet increase ratio after PSE. Methods Forty-five consecutive patients underwent PSE from January 2014 to August 2022. We retrospectively evaluated the splenic infarction volume and ratio after PSE and analyzed the relationship between the splenic infarction ratio and platelet increase ratio after PSE. Results The platelet increase ratio was correlated with the splenic infarction ratio after PSE. The cutoff value for the splenic infarction ratio with a two-fold platelet increase was 63.0%. Conclusion We suggest performance of PSE in patients with a splenic infarction ratio of 63% to double the expected platelet count.

Publisher

SAGE Publications

Subject

Biochemistry (medical),Cell Biology,Biochemistry,General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/03000605231190967

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