Clinical Application of Partial Splenic Embolization

Figure 1

Severe cirrhotic liver has been managed with TIPS for relief of portal hypertension. (a) Angiogram shows the small size of cirrhotic liver and the enlarged spleen with abundant peripheral small arteries (arrows) before PSE. (b) The trunk and the lower splenic polar artery have been occluded by stainless steel coils (bold arrows). Arterial phase shows fewer peripheral small arteries in the lower part after embolization. (c) Venous phase of the angiogram before PSE shows the lower part with rich venous blood flow (arrows). (d) Compared with the upper part, the lower part after PSE has very poor venous flow (arrows).

(a)

(b)

(c)

(d)