Tips and Tricks for Difficult Prostatic Artery Embolization

Abstract

Prostatic artery embolization (PAE) is a promising, new, safe, minimally invasive procedure for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. However, it can be a one of the most technically difficult interventional radiology procedures because of the challenging anatomy involved. To help achieve technical success and limit complications, the authors present here a series of tips and tricks that have been proven useful from prior PAE experience.

Keywords

prostatic artery embolization - technique - interventional radiology

• References

• 1 Laborda A, De Assis AM, Ioakeim I, Sánchez-Ballestín M, Carnevale FC, De Gregorio MA. Radiodermitis after prostatic artery embolization: case report and review of the literature. Cardiovasc Intervent Radiol 2015; 38 (3) 755-759
• 2 Schreuder SM, Scholtens AE, Reekers JA, Bipat S. The role of prostatic arterial embolization in patients with benign prostatic hyperplasia: a systematic review. Cardiovasc Intervent Radiol 2014; 37 (5) 1198-1219
• 3 Bilhim T, Pisco JM, Rio Tinto H , et al. Prostatic arterial supply: anatomic and imaging findings relevant for selective arterial embolization. J Vasc Interv Radiol 2012; 23 (11) 1403-1415
• 4 Rolls AE, Riga CV, Bicknell CD, Regan L, Cheshire NJ, Hamady MS. Robot-assisted uterine artery embolization: a first-in-woman safety evaluation of the Magellan System. J Vasc Interv Radiol 2014; 25 (12) 1841-1848
• 5 Bagla S, Smirniotopolous JB, Vadlamudi V. Crossing a prostatic artery chronic total occlusion to perform prostatic arterial embolization. J Vasc Interv Radiol 2016; 27 (2) 295-297
• 6 Bagla S, Rholl KS, Sterling KM , et al. Utility of cone-beam CT imaging in prostatic artery embolization. J Vasc Interv Radiol 2013; 24 (11) 1603-1607
• 7 Isaacson AJ, Bhalakia N, Burke CT. Coil embolization to redirect embolic flow during prostatic artery embolization. J Vasc Interv Radiol 2015; 26 (5) 768-770