Prostate Artery Embolization via Transradial or Transulnar versus Transfemoral Arterial Access: Technical Results

Bhatia, Shivank; Harward, Sardis; Sinha, Varsha; Narayanan, Govindarajan

doi:10.1016/j.jvir.2017.02.029

Cited by 59 publications

(43 citation statements)

References 23 publications

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“…Of note, for infradiaphragmatic interventions that require bilateral iliac artery access, such as during prostate artery embolization, procedural and fluoroscopy time was shown to be lesser via TRA than via TFA largely due to the ability to easily select either iliac artery from above the aortic bifurcation. 16 This suggests a similar saving in time and radiation dose given that TRA allows operators to treat diseased segments of both extremities with a single access site.…”

Section: Aortoiliac Diseasementioning

confidence: 94%

“…10,11 Furthermore, TRA has allowed for operators to perform procedures on fully anticoagulated patients, without significant added bleeding risk. 12,13 Despite the growing body of literature highlighting the benefits of TRA and the clear shift in operator access site preference to TRA during coronary 14 and more recently visceral interventions, 7,15,16 TFA remains the predominant access site choice in the management of PAD. This article aims to highlight recent literature evaluating TRA in PAD interventions, currently available tools to treat PAD via TRA, their limitations, and future needs to successfully implement the published benefits of TRA in the management of PAD.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?

Posham

Young

Lookstein

et al. 2018

Semin intervent Radiol

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The benefits of transradial arterial access (TRA) versus transfemoral arterial access (TFA) have been extensively described in the literature; however, TFA remains the predominant access site choice in the management of peripheral arterial disease (PAD). There are still significant unmet needs for operators wishing to provide the same effective interventions for lower extremity PAD via TRA as with TFA. This article provides an up-to-date review of the literature and devices currently available for operators wishing to treat lower extremity PAD via TRA and the limitations they may face.

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Section: Aortoiliac Diseasementioning

confidence: 94%

mentioning

confidence: 99%

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?

Posham

Young

Lookstein

et al. 2018

Semin intervent Radiol

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show abstract

“…Insbesondere der transbrachiale Zugang bietet Vorteile bei der Sondierung der Beckengefäße und wird von den Patienten sehr gut angenommen. Bei großen Patienten kann die limitierte Länge der Katheter zu Schwierigkeiten führen [31]. Wird ein inguinaler Zugang gewählt, so kann es je nach Anatomie in Einzelfällen, z.…”

Section: Sondierungunclassified

“…α-Blocker, wie z. B. Tamsulosin, sind rasch wirksam und verbessern den IPSS um durchschnittlich 6 Punkte, was einem Netto-Nutzen von 1,8 Punkten gegenüber Placebo entspricht (IPSS-Reduktion um 4,2 Punkte); außerdem nimmt die maximale Harnflussrate zu [31]. Prinzipiell sind α-Blocker in ihrer Wirksamkeit limitiert bei stärker "abgeknickten" intraprostatischen Harnröhren [32].…”

Section: Medikamentöse Therapieunclassified

Position Paper of the German Society for Interventional Radiology (DeGIR) on Prostatic Artery Embolization

Kovács¹,

Bücker

Grimm

et al. 2020

Rofo

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Background In recent years prostate artery embolization (PAE) evolved into a clinically established minimally invasive endovascular treatment option for lower urinary tract symptoms caused by benign prostate syndrome (BPS). Methods In this interdisciplinary position paper, initiated by the steering group for research of the German Society for Interventional Radiology (IR), the method of PAE is presented and discussed in the context of current evidence. Results PAE is a safe IR procedure for the treatment of BPS. In terms of symptom relief, measured with the IPSS (International Prostate Symptom Score), the PAE has comparable effect, similar to the historic gold standard, transurethral resection (TUR) of the prostate. With regard to reducing subvesical obstruction PAE is inferior to TUR, but does not limit subsequent surgery. Based on current evidence, PAE is recommended by the British National Institute for Health and Care Excellence as an alternative therapy. The feasibility under local anaesthesia and the preservation of sexual function are important arguments for patients in favour of interventional therapy. Patient selection and therapy concepts require close interdisciplinary collaboration between urologists and radiologists. Conclusion Effectiveness and safety of PAE for the treatment of BPS are proven. Further randomized trials should focus on long term outcome and help to identify most suitable indications for PAE. Key Points: Citation Format

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“…In 2016, Bhatia et al (33) conducted a retrospective analysis on a total of 64 procedures with the aim to compare safety and feasibility of PAE via TRA and TFA. TRA represented a safe and feasible method to perform PAE; the learning curve of the operator is important.…”

Section: Accessmentioning

confidence: 99%

State of the art of prostatic arterial embolization for benign prostatic hyperplasia

et al. 2018

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Prostatectomy via open surgery or transurethral resection of the prostate (TURP) is the standard treatment for benign prostatic hyperplasia (BPH). Several patients present contraindication for standard approach, individuals older than 60 years with urinary tract infection, strictures, post-operative pain, incontinence or urinary retention, sexual dysfunction, and blood loss are not good candidates for surgery. Prostatic artery embolization (PAE) is emerging as a viable method for patients unsuitable for surgery. In this article, we report results about technical and clinical success and safety of the procedure to define the current status.

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Prostate Artery Embolization via Transradial or Transulnar versus Transfemoral Arterial Access: Technical Results

Cited by 59 publications

References 23 publications

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?

Position Paper of the German Society for Interventional Radiology (DeGIR) on Prostatic Artery Embolization

State of the art of prostatic arterial embolization for benign prostatic hyperplasia

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