ENDOVASCULAR OCCLUSION OF THE SPLEEN IN P EDIATRIC PRACTICE

A procedure has been developed for partial X-ray endovascular occlusio n of the spleen in children. Splenic occlusion has been performed in 7 4 patients with various blood diseases and portal hypertension for 4 y ears. Indications for partial ''disconnecting'' of the splenic parench yma have been identified depending on a specific disease. its low trau matism, prevention of septic complications by using selective intestin al flora decontamination and choosing antibiotics at an individual lev el allow splenic occlusion to be made in young children. In patients w ith portal hypertension, partial splenic occlusion leads to decompress ion in the portal vein system and improves blood ejection along the na tural vascular anastomoses.