Partial embolization of splenic lienal artery as related to patients with portal hypertension: current state of the issue (literature review)

  • O.L. Nikishin SI «Scientific-Practical Centre of Endovascular Neuroradiology NAMS of Ukraine», Kyiv
  • S.M. Kozlov National Medical University named after O.O. Bogomolets, Kyiv
  • I.V. Altman SI «Scientific-Practical Centre of Endovascular Neuroradiology NAMS of Ukraine», Kyiv
  • S.I. Savoluk Shupyk National Medical Academy of Postgraduate Education, Кyiv
  • I.I. Al-Kashkish I «Scientific-Practical Centre of Endovascular Neuroradiology NAMS of Ukraine», Kyiv
Keywords: partial splenic embolization; portal hypertension; liver cirrhosis; liver transplantation; esophageal varices; hypersplenism; splenomegaly.


It was presented modern view on partial embolization of splenic artery as related to patients with portal hypertension. The analyzed sources provide evidence that the reduction of splenic bloodstream shows itself as an effective method for the correction of portal hypertension, there is actually a range of proposed methods for its use, however, the optimal medical practice for its realization is still a problematized issue. There is a high chance that infarction at more than 70 % of splenic volume can result in a splenic abscess, in case if the volume of embolized tissue is less than 50 %, clinical effect of the invasion is presumably insufficient. Meanwhile, combination of partial embolization of splenic artery with endoscopic and drug therapy appears as an efficient treatment for gastroesophageal he-
morrhages induced by portal hypertension. Quality and scale of the current research in the field are still insufficient. Conclusively, in order to distinguish the discussed methodology’s efficacy for the treatment of patients with portal hypertension, there is a high need in a multicenter-based international research that would present an extended sample selection for a comprehensive study.


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How to Cite
Nikishin, O., Kozlov, S., Altman, I., Savoluk, S., & Al-Kashkish, I. (2019). Partial embolization of splenic lienal artery as related to patients with portal hypertension: current state of the issue (literature review). Ukrainian Interventional Neuroradiology and Surgery, 26(4), 89-95.