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Radiofrequency ablation for treatment of hypersplenism: A feasible therapeutic option

查看全文 作  者:Guilherme Lopes P [1]Martins;Joao Paulo G [1]Bernardes;Marcello S [1]Rovella;Raphael G [1]Andrade;Publio Cesar C [1]Viana;Paulo [2]Herman;Giovanni Guido [3]Cerri;Marcos Roberto [1,3]Menezes 高影响力作者 机构地区:[1]Radiology and Image-Guided Intervention Service,Instituto do Cancer do Estado de Sao Paulo,University of Sao Paulo, Sao Paulo 01415-000, Brazil;[2]Department of Gastroenterology,University of Sao Paulo, Sao Paulo 01246-903, Brazil;[3]Instituto de Radiologia do Hospital das Clinicas da FMUSP,Sao Paulo 05403-900, Brazil高影响力机构 出  处:《World Journal of Gastroenterology》索引2015年第21卷第20期,共7页高影响力期刊 基  金:Instituto do Cancer do Estado de Sao Paulo,University of Sao Paulo Medical School,Sao Paulo,SP,Brazil 摘  要:We present a case of a patient with hypersplenism secondary to portal hypertension due to hepato-splenic schistosomiasis, which was accompanied by severe and refractory thrombocytopenia. We performed spleen ablation and measured the total spleen and ablated volumes with contrast-enhanced computed tomography and volumetry. No major complications occurred, thrombocytopenia was resolved, and platelet levels remained stable, which allowed for early treatment of the patient's underlying disease. Previous work has shown that splenic radiofrequency ablation is an attractive alternative treatment for hypersplenism induced by liver cirrhosis. We aimed to contribute to the currently sparse literature evaluating the role of radiofrequency ablation(RFA) in the management of hypersplenism. We conclude that splenic RFA appears to be a viable and promising option for the treatment of hypersplenism. 关 键 词:Portal hypertension THROMBOCYTOPENIA HYPERSPLENISM Percutaneous radiofrequency ablation Splenic ablation
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