The Experts below are selected from a list of 141 Experts worldwide ranked by ideXlab platform
Afshin Parsikia - One of the best experts on this subject based on the ideXlab platform.
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splenic Artery embolization as treatment for splenic Artery Steal Syndrome after liver transplantation
Journal of Vascular and Interventional Radiology, 2013Co-Authors: D V Strain, P Brady, T Matalon, Mindy M Horrow, Jorge Ortiz, Afshin ParsikiaAbstract:Learning Objectives Splenic Artery Steal Syndrome is an underdiagnosed entity first described in 1991 and occurring in 3-8% of patients after orthotopic liver transplantation (OLTX). The purpose of this article is to describe five cases of splenic Artery Steal Syndrome in a single institution. Background An imaging search engine was used to search for liver transplant patients with a diagnosis of splenic Artery Steal Syndrome. Further chart review to evaluate for what treatment was performed, and the post treatment changes. Clinical Findings/Procedure Details Five liver transplant patients were found to have splenic Artery Steal Syndrome. Of these five patients four received splenic Artery embolization with or without hepatic Artery angioplasty as treatment. The fifth patient did not have abnormal liver function tests and was untreated. All four treated patients demonstrated improvement in their liver function tests. Conclusion and/or Teaching Points Splenic Artery embolization with or without hepatic Artery angioplasty results in improved hepatic function in liver transplant patients presenting with splenic Artery Steal. Table 1
Prabhakar K Baliga - One of the best experts on this subject based on the ideXlab platform.
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transcatheter splenic Artery occlusion for treatment of splenic Artery Steal Syndrome after orthotopic liver transplantation
CardioVascular and Interventional Radiology, 2002Co-Authors: Renan Uflacker, Bayne J Selby, Kenneth D Chavin, Jeffrey Rogers, Prabhakar K BaligaAbstract:Purpose: To review some aspects of the problem of splenic Artery Steal Syndrome as cause of ischemia in transplanted livers and treatment by selective splenic Artery occlusion. Materials and Methods: Eleven liver transplant patients from a group of 350 patients, nine men and two women, ranging in age from 40 years to 61 years (mean 52 years), presented with biochemical evidences of liver ischemia and failure, ranging from one to 60 days following orthotopic liver transplantation. Diagnosis of splenic Artery Steal Syndrome was suspected by elevated enzymes, Doppler ultrasound and confirmed by celiac angiogram. Patients with confirmed hepatic Artery thrombosis before angiography were excluded from the study. Embolization with Gianturco coils was performed. Results: All patients were treated by splenic Artery embolization with Gianturco coils. The 11 patients improved clinically within 24 hours of the procedure with significant change in the biochemical and clinical parameters. Followup ranged from one month to two years. One of the 11 patient initially improved, but developed hepatic Artery thrombosis within 24 hours of the embolic treatment, requiring surgical repair. Conclusion: Splenic Artery Steal Syndrome following liver transplantation surgery can be diagnosed by celiac angiography, and effectively treated by splenic Artery embolization with coils. Embolization is one of the treatments available, it is minimally invasive, and leads to immediate clinical improvement. Hepatic Artery thrombosis is a possible complication of the procedure.
D V Strain - One of the best experts on this subject based on the ideXlab platform.
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splenic Artery embolization as treatment for splenic Artery Steal Syndrome after liver transplantation
Journal of Vascular and Interventional Radiology, 2013Co-Authors: D V Strain, P Brady, T Matalon, Mindy M Horrow, Jorge Ortiz, Afshin ParsikiaAbstract:Learning Objectives Splenic Artery Steal Syndrome is an underdiagnosed entity first described in 1991 and occurring in 3-8% of patients after orthotopic liver transplantation (OLTX). The purpose of this article is to describe five cases of splenic Artery Steal Syndrome in a single institution. Background An imaging search engine was used to search for liver transplant patients with a diagnosis of splenic Artery Steal Syndrome. Further chart review to evaluate for what treatment was performed, and the post treatment changes. Clinical Findings/Procedure Details Five liver transplant patients were found to have splenic Artery Steal Syndrome. Of these five patients four received splenic Artery embolization with or without hepatic Artery angioplasty as treatment. The fifth patient did not have abnormal liver function tests and was untreated. All four treated patients demonstrated improvement in their liver function tests. Conclusion and/or Teaching Points Splenic Artery embolization with or without hepatic Artery angioplasty results in improved hepatic function in liver transplant patients presenting with splenic Artery Steal. Table 1
P Brady - One of the best experts on this subject based on the ideXlab platform.
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splenic Artery embolization as treatment for splenic Artery Steal Syndrome after liver transplantation
Journal of Vascular and Interventional Radiology, 2013Co-Authors: D V Strain, P Brady, T Matalon, Mindy M Horrow, Jorge Ortiz, Afshin ParsikiaAbstract:Learning Objectives Splenic Artery Steal Syndrome is an underdiagnosed entity first described in 1991 and occurring in 3-8% of patients after orthotopic liver transplantation (OLTX). The purpose of this article is to describe five cases of splenic Artery Steal Syndrome in a single institution. Background An imaging search engine was used to search for liver transplant patients with a diagnosis of splenic Artery Steal Syndrome. Further chart review to evaluate for what treatment was performed, and the post treatment changes. Clinical Findings/Procedure Details Five liver transplant patients were found to have splenic Artery Steal Syndrome. Of these five patients four received splenic Artery embolization with or without hepatic Artery angioplasty as treatment. The fifth patient did not have abnormal liver function tests and was untreated. All four treated patients demonstrated improvement in their liver function tests. Conclusion and/or Teaching Points Splenic Artery embolization with or without hepatic Artery angioplasty results in improved hepatic function in liver transplant patients presenting with splenic Artery Steal. Table 1
T Matalon - One of the best experts on this subject based on the ideXlab platform.
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splenic Artery embolization as treatment for splenic Artery Steal Syndrome after liver transplantation
Journal of Vascular and Interventional Radiology, 2013Co-Authors: D V Strain, P Brady, T Matalon, Mindy M Horrow, Jorge Ortiz, Afshin ParsikiaAbstract:Learning Objectives Splenic Artery Steal Syndrome is an underdiagnosed entity first described in 1991 and occurring in 3-8% of patients after orthotopic liver transplantation (OLTX). The purpose of this article is to describe five cases of splenic Artery Steal Syndrome in a single institution. Background An imaging search engine was used to search for liver transplant patients with a diagnosis of splenic Artery Steal Syndrome. Further chart review to evaluate for what treatment was performed, and the post treatment changes. Clinical Findings/Procedure Details Five liver transplant patients were found to have splenic Artery Steal Syndrome. Of these five patients four received splenic Artery embolization with or without hepatic Artery angioplasty as treatment. The fifth patient did not have abnormal liver function tests and was untreated. All four treated patients demonstrated improvement in their liver function tests. Conclusion and/or Teaching Points Splenic Artery embolization with or without hepatic Artery angioplasty results in improved hepatic function in liver transplant patients presenting with splenic Artery Steal. Table 1
