Midterm Follow-Up After Prostate Embolization in Two Patients with Benign Prostatic Hyperplasia

Carnevale, Francisco César; Motta-Leal-Filho, Joaquim Maurício da; Antunes, Alberto A.; Baroni, Ronaldo Hueb; Freire, Geraldo de Campos; Cerri, Luciana Mendes de Oliveira; Marcelino, Antônio Sérgio Zafred; Cerri, Giovanni Guido; Srougi, Miguel

doi:10.1007/s00270-011-0136-8

Cited by 43 publications

(31 citation statements)

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“…PAE is considered technically challenging and unilateral PAE has been reported in all of these preliminary studies [2][3][4]. In the present study, 15.6 % of patients underwent unilateral embolization due to significant atherosclerotic lesions and tortuosity of the iliac and prostatic arteries.…”

Section: Discussionmentioning

confidence: 53%

“…Keywords Prostatic arterial embolization Á Unilateral Á Benign prostatic hyperplasia Á Lower urinary tract symptoms Preliminary studies have shown that prostatic arterial embolization (PAE) for the relief of lower urinary tract symptoms (LUTS) in patients with prostate enlargement/ benign prostatic hyperplasia (PE/BPH) is a promising, new, minimally invasive, image-guided therapy [1][2][3][4]. However, PAE is a technically challenging procedure with unilateral embolization and technical failure reported rates of approximately 10-15 and 7 %, respectively [1][2][3][4].…”

mentioning

confidence: 99%

“…However, PAE is a technically challenging procedure with unilateral embolization and technical failure reported rates of approximately 10-15 and 7 %, respectively [1][2][3][4]. To perform the procedure in a safe manner without nontarget embolization to periprostatic tissues, precise knowledge of the male pelvic and PA anatomy and imaging findings is required [5][6][7].…”

mentioning

confidence: 99%

“…One of the reported series [2,4] included one patient with unilateral embolization (with almost 20 % reduction in prostate volume and 11 % PSA reduction) and another with bilateral PAE (with almost 50 % reduction in prostate volume and 82 % PSA reduction). Both patients had significant clinical relief.…”

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confidence: 99%

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Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary Tract Symptoms in Patients with Prostate Enlargement

Bilhim

Pisco²,

Fernandes

et al. 2012

Cardiovasc Intervent Radiol

109

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Purpose This study was designed to compare baseline data and clinical outcome between patients with prostate enlargement/benign prostatic hyperplasia (PE/BPH) who underwent unilateral and bilateral prostatic arterial embolization (PAE) for the relief of lower urinary tract symptoms (LUTS). Methods This single-center, ambispective cohort study compared 122 consecutive patients (mean age 66.7 years) with unilateral versus bilateral PAE from March 2009 to December 2011. Selective PAE was performed with 100-and 200-lm nonspherical polyvinyl alcohol (PVA) particles by a unilateral femoral approach.Results Bilateral PAE was performed in 103 (84.4 %) patients (group A). The remaining 19 (15.6 %) patients underwent unilateral PAE (group B). Mean follow-up time was 6.7 months in group A and 7.3 months in group B. Mean prostate volume, PSA, International prostate symptom score/ quality of life (IPSS/QoL) and post-void residual volume (PVR) reduction, and peak flow rate (Qmax) improvement were 19.4 mL, 1.68 ng/mL, 11.8/2.0 points, 32.9 mL, and 3.9 mL/s in group A and 11.5 mL, 1.98 ng/mL, 8.9/1.4 points, 53.8 mL, and 4.58 mL/s in group B. Poor clinical outcome was observed in 24.3 % of patients from group A and 47.4 % from group B (p = 0.04). Conclusions PAE is a safe and effective technique that can induce 48 % improvement in the IPSS score and a prostate volume reduction of 19 %, with good clinical outcome in up to 75 % of treated patients. Bilateral PAE seems to lead to better clinical results; however, up to 50 % This work reflects in part the work from Bilhim T. Embolização das artérias prostáticas no tratamento da hiperplasia benigna da próstata. PhD thesis,

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Section: Discussionmentioning

confidence: 53%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary Tract Symptoms in Patients with Prostate Enlargement

Bilhim

Pisco²,

Fernandes

et al. 2012

Cardiovasc Intervent Radiol

109

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“…Admite-se hoje que os sintomas sejam causados pelo aumento global do volume da glândula, resultante principalmente da hiperplasia dos ácinos e do estroma. Além de alteração no fluxo, decorrente do processo obstrutivo, observa-se também a alteração na função de armazenamento, levando ao aumento da frequência e episódios de urgência miccional Antunes, 2011 (Neal et al, 1987;Wasserman, 2006 (Schäfer et al, 2002;McVary et al, 2011).…”

Section: Hospital Das Clínicas Da Faculdade De Medicina Da Universidaunclassified

Papel da embolização das artérias da próstata no tratamento dos sintomas do trato urinário inferior secundários à hiperplasia prostática benigna

Carnevale¹

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, mestre, orientador e exemplo a seus discípulos.Muito obrigado por ter apoiado esta ideia desde as suas origens e criar condições facilitadoras à sua execução em alto nível científico. Minha eterna gratidão e respeito.Prof. Dr. Miguel Srougi, mestre, inovador e pesquisador. Minha eterna gratidão pelos conselhos, ideias e orientações no desenvolvimento desta pesquisa.Graças à sua visão holística na medicina a disseminação deste projeto foi possível.Prof. Dr. Alberto Azoubel Antunes, pesquisador pioneiro e companheiro nesta caminhada. Obrigado pelo apoio, dedicação e por ter acreditado neste projeto mesmo diante das adversidades. Leite, Sabrina T. dos Reis, Nayara I. Viana e Aline C. B. Santos) pela participação em distintos momentos deste projeto multidisciplinar.Suely Campos Cardoso, pelo apoio, carinho e profissionalismo em momentos de ansiedade contra o tempo na normalização e diagramação desta tese e memorial.Ao Departamento de Radiologia e Divisão de Clínica Urológica do HC-FMUSP por terem propiciado o desenvolvimento desta pesquisa dentro de padrões da mais alta qualidade humana e tecnológica. Aos funcionários dos Serviços de Radiologia Intervencionista (do InCor eInRad) e do Setor de Próstata do HC-FMUSP.Maria Lúcia Aparecida Carnevale Marin, querida irmã Malú, pelo carinho, estímulo, apoio e orientação em todos os momentos de minha carreira profissional e pessoal.Ana Maria Arguello Carnevale, amada esposa, companheira e incentivadora dos meus projetos. Você foi o pilar de sustentação para que nossas famílias e filhos compreendessem a importância deste desafio. Minha eterna gratidão.Deus, uma força oculta sempre presente.

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Embolization therapy for benign prostatic hyperplasia: Influence of embolization particle size on gland perfusion

Brook

Faintuch

Brook

et al. 2012

Magnetic Resonance Imaging

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Midterm Follow-Up After Prostate Embolization in Two Patients with Benign Prostatic Hyperplasia

Cited by 43 publications

References 4 publications

Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary Tract Symptoms in Patients with Prostate Enlargement

Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary Tract Symptoms in Patients with Prostate Enlargement

Papel da embolização das artérias da próstata no tratamento dos sintomas do trato urinário inferior secundários à hiperplasia prostática benigna

Embolization therapy for benign prostatic hyperplasia: Influence of embolization particle size on gland perfusion

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