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Table 2 Patient and procedural characteristics of interventions with complications

From: Transsplenic tract closure after transsplenic portalvenous access using gelfoam-based tract plugging

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

  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
  2. ^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