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Bilateral Arterial Embolization of the Prostate Through a Single Prostatic Artery: A Case Series

  • Gregory AmouyalEmail author
  • Olivier Pellerin
  • Costantino Del Giudice
  • Carole Déan
  • Nicolas Thiounn
  • Marc Sapoval
Case Report

Abstract

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.

Keywords

Prostatic hyperplasia Embolization Therapeutic Endovascular procedure Radiology Interventional Prostate 

Abbreviations

PAE

Prostatic artery embolization

BPH

Benign prostate hyperplasia

LUTS

Lower urinary tract symptoms

IPSS

International prostatic symptoms score

IIEF

International index of erectile function

QoL

Quality of life

Qmax

Maximum urinary flow

PVR

Post-voiding residue

PV

Prostatic volume

PA

Prostatic artery

CBCT

Cone beam computed tomography

DSA

Digital subtraction angiography

MRI

Magnetic resonance imaging

PSA

Prostatic-specific antigen

Notes

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.

Ethical Approval

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

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016

Authors and Affiliations

  • Gregory Amouyal
    • 1
    • 2
    Email author
  • Olivier Pellerin
    • 1
    • 2
    • 3
  • Costantino Del Giudice
    • 1
    • 2
  • Carole Déan
    • 2
    • 3
  • Nicolas Thiounn
    • 1
    • 4
  • Marc Sapoval
    • 1
    • 2
    • 3
  1. 1.Faculté de MédecineUniversité Paris Descartes - Sorbonne - Paris - CitéParisFrance
  2. 2.Interventional Radiology Department, Hôpital Européen Georges PompidouAssistance Publique - Hôpitaux de ParisParisFrance
  3. 3.INSERM U970ParisFrance
  4. 4.Urology Department, Hôpital Européen Georges PompidouAssistance Publique - Hôpitaux de ParisParisFrance

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