ArticleWorld journal of gastroenterology2014
New strategies for prevention and treatment of splenic artery steal syndrome after liver transplantation.
Article in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 17 citations in OpenAlex.
- Structural imaging features associated with non-occlusive hepatic artery hypoperfusion in pediatric liver transplantation.Abdominal radiology (New York) · 2026Article
- CT-Based Reference Values for Splenic Artery and Vein Diameters in Individuals Aged 1-80 Years.Diagnostics (Basel, Switzerland) · 2026Article
- Gastroepiploic artery embolization for splenic trauma in a liver transplant recipient.Journal of clinical imaging science · 2025Article
- Splenic artery steal syndrome after liver transplantation: A case series and review of literature.Clinical case reports · 2024Article
- Splenic artery steal syndrome after liver transplantation - prophylaxis or treatment?: A case report and literature review.Annals of hepato-biliary-pancreatic surgery · 2022Article
- Diagnostic Value of Color Doppler Ultrasound and Contrast-Enhanced Ultrasound in the Artery Steal Syndrome After Orthotopic Liver Transplantation.Journal of multidisciplinary healthcare · 2022Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo explore a prophylactic procedure to prevent splenic artery steal syndrome (SASS), as well as a therapeutic intervention to correct it.
methodsForty-three liver transplant patients were enrolled in a non-randomized controlled trial, with the eligible criterion that the diameter of the splenic artery is more than 5 mm and/or 1.5 times of the diameter of the hepatic artery. The procedure of splenic artery banding was performed in 28 of the 43 patients, with the other 15 patients studied as a control group. SASS and other complications were compared between these two groups. A new therapeutic intervention, temporary incomplete blockade of the splenic artery with a balloon, was performed to treat SASS in this study.
resultsThe incidence of SASS was decreased by banding the splenic artery (0/28 vs 5/15, P = 0.006), and the same result was observed in total complications associated with prophylactic procedures (2/28 vs 6/15, P = 0.014). Five patients in the control group developed SASS within 5 d after OLT, 2 of whom were treated by coil embolization of the splenic artery, whereas the other 3 by temporary blockade of the splenic artery. Reappeared or better hepatic arteries with improved systolic amplitude and increased diastolic flow were detected by Doppler ultrasonography in all the 5 patients. Local splenic ischemic necrosis and nonanastomotic biliary stricture were diagnosed respectively in one patient treated by coil embolization, and no collateral complication was detected in patients treated by temporary blockade of the splenic artery.
conclusionSASS should be avoided during the operation by banding the splenic artery. Temporary blockade of the splenic artery is a new safe and effective intervention for SASS.
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