Prostate Artery Embolization

Mouli, S.; Hohlastos, Elias; Salem, Riad

doi:10.1055/s-0039-1688431

Cited by 4 publications

(4 citation statements)

References 37 publications

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“…Thus, slow controlled injections are used to prevent nontarget reflux. 17 One would hypothesize that such a technique with glue would lead to premature polymerization and embolization, and conversely rapid injection increases the risk of nontarget occlusion. However, in experienced hands, the initial data for glue do look promising with significant radiation exposure reduction and significantly faster procedure.…”

Section: Controversy No 3: 300-to 500-μm Size Embolic Particles Shoul...mentioning

confidence: 99%

“…Despite attempts to standardize the procedural workflow, many components like catheter selection and particle size are based on patient anatomy and physician preference. 17 The goal of these standardization efforts has been to make PAE treatment and outcomes reproducible across centers, and in doing so spur high-quality comparative effectiveness research for the management of BPH. This will bring PAE in line with other urologic therapies which have become standardized and are less operator dependent.…”

Section: Prostate Artery Embolization For Treatment Of Lower Urinary ...mentioning

confidence: 99%

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Controversies in Prostate Artery Embolization: Future Best Practice

Goyal

Salem

Mouli

2022

Semin intervent Radiol

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Prevalence of lower urinary tract symptoms secondary to benign prostatic hyperplasia is correlated with age. Men seeking treatment options with a low side effect profile often turn to prostate artery embolization (PAE). PAE continues to be refined with advanced tools and optimized techniques. Nonetheless, there exist controversies in terms of best practices for the management of lower urinary track symptoms (LUTS) with PAE. These controversies are essential for medical progress. Herein we suggest best practices moving forward based on currently available data. Given extensive safety data, we recommend PAE be considered alongside medical management and as a precursor to surgery. Given demonstrated efficacy across gland sizes, PAE can be performed in a single session, ideally in a hybrid angio-CT suite, without preoperative cross-sectional imaging. PAE should be initially performed with 300- to 500-μm size particles, and instead consider exploring other particles and sizes for repeat PAE. Finally, PAE can also be considered as first-line option for recurrent disease given the efficacy and excellent safety profile. This article is not meant to purport a dogma, but rather to serve as a guide to the experienced practitioner in challenging his or her own biases when performing PAE.

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Section: Controversy No 3: 300-to 500-μm Size Embolic Particles Shoul...mentioning

confidence: 99%

Section: Prostate Artery Embolization For Treatment Of Lower Urinary ...mentioning

confidence: 99%

Controversies in Prostate Artery Embolization: Future Best Practice

Goyal

Salem

Mouli

2022

Semin intervent Radiol

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“…Another option is to begin the case with a cone beam CT of the pelvis using a pigtail catheter in the aorta. This allows for bilateral visualization of the iliac artery anatomy with one cone beam acquisition reducing the number of required runs [ 54 ].…”

Section: Techniquesmentioning

confidence: 99%

“…After embolization of the contralateral side, a Waltman loop is formed with the C2 catheter and the ipsilateral internal iliac artery is selected [ 53 ]. Alternatively, a reverse curve catheter may be utilized to cannulate the ipsilateral internal iliac artery [ 53 , 54 ]. DSA imaging is performed from the internal iliac artery and the same steps are performed.…”

Section: Techniquesmentioning

confidence: 99%

Prostate Artery Embolization—Review of Indications, Patient Selection, Techniques and Results

Naidu

Narayanan

Saini

et al. 2021

JCM

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Lower urinary tract symptoms (LUTS) due to benign prostatic hypertrophy (BPH) are a very common problem in men ranging from mild urinary symptoms to recurrent urinary tract infections or renal failure. Numerous treatment options are available ranging from conservative medical therapies to more invasive surgical options. Prostate artery embolization (PAE) has emerged as a novel treatment option for this common problem with clinical efficacy comparable to the current surgical gold standard, transurethral resection of the prostate (TURP). PAE offers fewer complications and side effects without a need for general anesthesia or hospitalization. This review discusses the indications for prostate artery embolization in addition to LUTS, patient evaluation in patients with LUTS, PAE technique and clinical results, with an emphasis on efficacy and safety.

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Prostate Artery Embolization

Gruener

Rastinehad

2021

Transradial Access in Interventional Radiology

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Prostate Artery Embolization

Cited by 4 publications

References 37 publications

Controversies in Prostate Artery Embolization: Future Best Practice

Controversies in Prostate Artery Embolization: Future Best Practice

Prostate Artery Embolization—Review of Indications, Patient Selection, Techniques and Results

Prostate Artery Embolization

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