Partial Splenic Artery Embolization in Chronic Liver Disease

Abstract

his study done to evaluate the effect of partial splenic artery embolization on blood elements in patients with hypersplenism due to chronic liver disease and to assess safety of the maneuver. The study include twenty five patient with thrombocytopenia due to hypersplenism caused by chronic liver disease. In follow up visit after one month, a full clinical assessment was done, CBC, liver functiontests and abdominal sonar or CT. The most common cause of chronic liver disease is HCV infection 16 patients (64%), bilharzial disease in 5 patients (20%) and mixed HCV and bilharzial infection in 4 patients (16%). Regarding the symptoms of the studied patients bleeding tendency was found in 25 patients (100%), while anemic manifestations was found in 15 patients (60%), hematemesis or melena was found in 14 patients (56%), abdominal enlargement was found in 6 patients (24%) and abdominal pain was found in 18 patients (72%).