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Related Experiment Video

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Technical Aspects of the Mouse Aortocaval Fistula
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[A splenic arteriovenous fistula].

Sven Macco1, Michiel H van Werkum, Marc van Leersum

  • 1Sint Antonius Ziekenhuis, Nieuwegein.

Nederlands Tijdschrift Voor Geneeskunde
|July 1, 2014
PubMed
Summary

A rare splenic arteriovenous fistula causing portal hypertension was successfully treated with embolization. This minimally invasive approach offers an effective alternative to splenectomy for managing this condition.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Splenic arteriovenous fistula is an uncommon vascular anomaly.
  • It can manifest with symptoms of portal hypertension, including esophageal varices and splenomegaly.
  • Diagnosis often requires advanced imaging techniques.

Observation:

  • A 60-year-old female presented with hematemesis and anemia.
  • Imaging revealed signs of liver cirrhosis, portal hypertension, and a suspected splenic arteriovenous fistula.
  • CT angiography and selective splenic artery angiography confirmed the diagnosis.

Findings:

  • The splenic arteriovenous fistula was treated using percutaneous transarterial embolization.
  • This interventional radiology technique successfully occluded the fistula.

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  • The patient's condition improved following the embolization procedure.

    • Implications:

    • Percutaneous transarterial embolization is a viable and effective treatment for splenic arteriovenous fistulas.
    • This minimally invasive approach can be an alternative to traditional surgical splenectomy.
    • Embolization may reduce patient morbidity and recovery time.