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CardioVascular and Interventional Radiology

, Volume 37, Issue 6, pp 1602–1605 | Cite as

The “PErFecTED Technique”: Proximal Embolization First, Then Embolize Distal for Benign Prostatic Hyperplasia

  • Francisco C. CarnevaleEmail author
  • Airton Mota Moreira
  • Alberto A. Antunes
Technical Note

Abstract

Prostatic artery embolization requires a refined technique to achieve good imaging and clinical success. The PErFecTED (Proximal Embolization First, Then Embolize Distal) technique has produced greater prostate ischemia and infarction than previously described methods with clinical improvement of lower urinary symptoms and lower recurrence rates. The microcatheter should cross any collateral branch to the bladder, rectum, corpus cavernosum, gonad, or penis and be placed distally into the prostatic artery before its branching to the central gland and peripheral zone. This technique allows better distribution of embolic material in the intraprostatic arteries and reduces risk of spasm or thrombus. Because benign prostatic hyperplasia develops primarily in the periurethral region of the prostate, the urethral group of arteries should be embolized first. Subsequent distal investigation and embolization completes occlusion and stasis of blood flow to the prostatic parenchyma. Since we added the second step to the PErFecTED technique, we have observed infarcts in all patients submitted to prostatic artery embolization.

Keywords

Arterial intervention Embolization Embolotherapy Prostate 

Notes

Conflict of interest

Francisco C. Carnevale, Airton Mota Moreira, and Alberto A. Antunes declare that they have no conflict of interest.

References

  1. 1.
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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014

Authors and Affiliations

  • Francisco C. Carnevale
    • 1
    • 3
    Email author
  • Airton Mota Moreira
    • 1
  • Alberto A. Antunes
    • 2
  1. 1.Interventional Radiology UnitUniversity of Sao Paulo Medical SchoolSao Paulo, SPBrazil
  2. 2.Division of UrologyUniversity of Sao Paulo Medical SchoolSao Paulo, SPBrazil
  3. 3.Sao PauloBrazil

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