PMC4848020_01
SSAE of the inferior branches of the splenic artery.
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Therefore, the patient underwent selective embolization of the inferior branches of the splenic artery, using gelfoam pledgets and microcoils (Figure 1).
CT scan showing multiple infarcts in the parenchyma of the spleen.
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The abdominal CT scan performed two days after SSAE showed an important decrease of the spleen volume with multiple infarcts in the mid to lower pole of the spleen (Figure 2).
SSAE of the the two remaining major branches of the splenic artery.
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Ten days later, a second SSAE procedure was carried out: this time the two remaining major branches of the splenic artery were embolized (Figure 3), leading to a complete exclusion of the organ from the bloodstream.
Abdomen ultrasound showing a decrease of the spleen volume and avascularization of the spleen after SSAE.
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An abdominal ultrasound exam performed two days after the embolization, demonstrated a marked splenic decrease and a complete avascularization of the organ (Figure 4).
Time course of hematological parameters of patient in relation to SSAE treatment.
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After four months from SSAE, she retains a good control of the blood counts with no signs of hemolysis (Figures 5 and 6).
Time course of hemolysis indices of patient in relation to SSAE treatment
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After four months from SSAE, she retains a good control of the blood counts with no signs of hemolysis (Figures 5 and 6).