Evidence map›Paper›PMID 42379780›Full record

ArticleIn vivo (Athens, Greece)

Clinical Characteristics and Technical Outcomes of Microballoon Catheter-assisted Partial Splenic Embolization.

Toru Ishikawa, Masaya Goto, Ryo Sato, Hiroki Natsui, Saori Endo, Ryo Jimbo, Shun Yamazaki, Takahiro Iwasawa, Yuji Kobayashi, Tomoe Sano and 1 more

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Toru IshikawaDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan toruishi@ngt.saiseikai.or.jp.
Masaya GotoDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Ryo SatoDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Hiroki NatsuiDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Saori EndoDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Ryo JimboDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Shun YamazakiDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Takahiro IwasawaDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Yuji KobayashiDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Tomoe SanoDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Terasu HonmaDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimPartial splenic embolization (PSE) is an established interventional radiology procedure for portal hypertension. However, in cases of splenomegaly with complex vascular anatomy, guide catheter placement in the splenic artery may be difficult. We aimed to evaluate the clinical characteristics and technical feasibility of microballoon catheter-assisted PSE in such challenging cases. PATIENTS AND

methodsAmong 279 patients who underwent PSE at our institution between November 2007 and March 2026, we retrospectively analyzed 12 patients in whom conventional guide catheter insertion into the main splenic artery was unsuccessful and required microballoon catheter assistance.

resultsThe study population included nine men and three women, with a mean age of 68.9 years. The etiologies of portal hypertension included one case of overlap syndrome (autoimmune hepatitis and primary biliary cirrhosis), one case of hepatitis B-related cirrhosis, three cases of alcoholic cirrhosis, three cases of metabolic dysfunction-associated steatohepatitis-related cirrhosis, and four cases of left-sided portal hypertension. The mean preoperative spleen volume was 619.3±544.9 ml. The mean infarct volume was 337.5±210.2 ml, with a splenic infarction rate of 60.6±14.6%. PSE was successfully performed in all patients. The platelet count increased significantly from 65,000±18,900/μl preoperatively to 183,200±51,500/μl two weeks postoperatively (

conclusionMicroballoon catheter assistance facilitates stable guide catheter placement in anatomically challenging splenic arteries, enabling safe and effective PSE. This technique may represent a valuable option in difficult cases; however, validation in larger cohorts is required.

Indexed as

Embolization, TherapeuticHypertension, PortalAgedCathetersFemaleHumansMaleMiddle AgedRetrospective StudiesSpleenSplenic ArteryTreatment Outcomeinterventional radiologyMicroballoon catheterpartial splenic embolizationportal hypertension

Identifiers

PMID42379780
PMCPMC13322026

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.