Partial splenic embolization for refractory thrombocytopenia

  • Irwin M. Best | imb@hotmail.com Emory University School of Medicine, Department of Radiology, Interventional Radiology, Atlanta, GA, United States.

Abstract

When the platelet count falls below 20¥ 109/L, the risk of spontaneous life threatening hemorrhage is concerning for both physician and patient. When medical management fails, splenectomy is often used to manage the severe thrombocytopenia before spontaneous, life-threatening gastrointestinal or intracranial bleeding occurs. We present the non surgical management of such a patient with refractory sever thrombocytopenia who refused surgical intervention. She underwent partial splenic embolic therapy with 500-700 ? particles. Her platelet count spontaneous recovered from less than 20¥109/L to normal range. Her counts remained in normal range after discharge home. Further study is needed to determine the most appropriate role for embolization in patients who are refractory to medical management and those with chronically low platelet counts requiring frequent plate transfusions for invasive procedures.

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Author Biography

Irwin M. Best, Emory University School of Medicine, Department of Radiology, Interventional Radiology, Atlanta, GA
Radiology
Published
2011-12-01
Info
Issue
Section
Case Reports
Keywords:
ITP, thrombocytopenia, partial splenic embolization.
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How to Cite
Best, I. M. (2011). Partial splenic embolization for refractory thrombocytopenia. Clinics and Practice, 1(4), e126. https://doi.org/10.4081/cp.2011.e126