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Splenopneumopexy: evaluation with splenoportography.

D A Zuckerman1, R G Levitt

  • 1Department of Radiology, St Louis University Medical Center, MO 63110-0250.

Journal of Vascular and Interventional Radiology : JVIR
|February 1, 1992
PubMed
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Splenopneumopexy creates a portopulmonary shunt for esophageal variceal bleeding. Splenoportography successfully identified these shunts in most patients without complications, proving its value in surgical assessment.

Area of Science:

  • Interventional Radiology
  • Surgical Procedures
  • Hepatology

Background:

  • Esophageal variceal bleeding necessitates shunting procedures when conventional methods fail.
  • Splenopneumopexy offers an alternative by creating a portopulmonary shunt.
  • Assessing the efficacy of splenopneumopexy requires reliable imaging of the shunt.

Observation:

  • Splenoportography was utilized in three patients post-splenopneumopexy.
  • The imaging procedure was performed following splenic artery embolization in these patients.
  • The primary goal was to visualize the created portopulmonary shunt.

Findings:

  • Portopulmonary shunts were successfully identified in two out of the three patients.
  • Splenoportography demonstrated a high success rate in visualizing the intended shunts.

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  • No adverse events or complications were reported during or after the splenoportography procedure.

    • Implications:

    • Splenoportography is confirmed as a safe and effective imaging modality for evaluating splenopneumopexy.
    • This technique is crucial for confirming shunt patency in patients ineligible for traditional shunts.
    • The findings support the use of splenoportography as the preferred method for assessing portopulmonary shunts in this specific patient cohort.