Table 2.
Patient and procedural characteristics of interventions with complications
| Intervention Number | 1 | 2 | 3 | 4 |
|---|---|---|---|---|
| Patient characteristics | ||||
| Age (years) | 42 | 52 | 62 | 62 |
| Gender | female | female | male | female |
| Liver disease (cirrhotic / non-cirrhotic) | PVT (cirrhotic) | CTPV (non-cirrhotic) | Cryptogenic (cirrhotic) | CCC (non-cirrhotic) |
| Pre-interventional characteristics | ||||
| MELD | 18 | 10 | 25 | 5 |
| INR | 1.51 | 1.31 | 1.15 | 0.86 |
| aPTT (s) | 52 | 31 | 31 | 28 |
| PLT (1*100/uL) | 31 | 40 | 86 | 146 |
| Anti-aggregation/-coagulation pre-interventionally | Dalteparin, 10000IE, 1/d | Fondaparinux, 2.5mg, 1/d | Aspirin, 100mg, 1x/d | none |
| Transfusion pre-interventionally | none | none | 2 pack of RBC | none |
| Ascites pre-interventionally | present | present | present | none |
| Spleen diameter (cm) | 25 | 18 | 15 | 10 |
| Procedural characteristics | ||||
| Indication | TIPS | VE” | VE | PVS |
| Splenic access | successful | successful | successful | successful |
| Interventional success | successful | successful | successful | successful |
| Splenic access time (min) | 35 | 14 | 133 | 56 |
| Total procedure time (min) | 322 | 110 | 205 | 113 |
| Splenic access route | subcostal | intercostal | intercostal | intercostal |
| Sheath Size (F) | 5-F | 4-F | 4-F | 7-F |
| No. of gelfoam cubes | 2 | 2 | 2 | 2 |
| Clinical significant complications | splenic hematoma | erysipelas, NP° | splenic hematoma, SBP^ | splenic hematoma |
| CIRSE classification | 1 | 3 | 3 | 1 |
Abbreviations: aPTT activated partial thromboplastin time, CIRSE Cardiovascular and interventional radiological society of Europe, CCC Cholangiocellular carcinoma, CTPV Cavernous transformation of the portal vein, INR International normalized ratio, MELD Model for end-stage liver disease, NP Nosocomial peritonitis, PVS Portal vein stent, PLT Platelet count, PVT Portal vein thrombosis, RBC Red blood cell, SBP Spontaneous bacterial infection, TIPS Transjugular intrahepatic portosystemic shunt, VE Variceal embolization
^ceftriaxone and metronidazole i.v., vancomycin and gentamicin i.p., °piperacillin/tazobactam and meropenem + daptomycin.” In this case no embolization was performed, because no active bleeding and no potential feeders from the portal system could be identified