Bilateral Arterial Embolization of the Prostate Through a Single Prostatic Artery: A Case Series
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Peri-prostatic shunts are frequent during PAE, carrying the risk of non-target embolization of penis/corpus cavernosum or rectum but also the potential advantage to irrigate the contralateral lobe. Sometimes, bilateral embolization is impossible, carrying the risk of limited clinical success. The possibility to reach contralateral prostatic territory from the ipsilateral prostatic artery (PA) and embolize it via peri/intra-prostatic anastomoses could be of interest in this situation. We describe a series of three consecutive patients (among 89 consecutive patients treated by PAE for symptomatic BPH) who underwent successful embolization of both prostatic lobes through catheterization of a PA on only one side. All patients had clinical success after a mean follow-up of 3.3 months. Dosimetry of these three procedures indicates that there may be radiation dose savings.
KeywordsProstatic hyperplasia Embolization Therapeutic Endovascular procedure Radiology Interventional Prostate
Prostatic artery embolization
Benign prostate hyperplasia
Lower urinary tract symptoms
International prostatic symptoms score
International index of erectile function
Quality of life
Maximum urinary flow
Cone beam computed tomography
Digital subtraction angiography
Magnetic resonance imaging
Compliance with Ethical Standards
Conflict of interest
Gregory Amouyal has nothing to disclose. Olivier Pellerin has nothing to disclose. Costantino Del Giudice has nothing to disclose. Carole Dean has nothing to disclose. Nicolas Thiounn has nothing to disclose. Marc Sapoval has financial support from Merit Medical (Salt Lake City, USA) for attending/speaking at symposia/congresses and for educational programs.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.