Quality of Life and Clinical Symptom Improvement Support Prostatic Artery Embolization for Patients with Acute Urinary Retention Caused by Benign Prostatic Hyperplasia

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

doi:10.1016/j.jvir.2012.12.019

Cited by 148 publications

(81 citation statements)

References 14 publications

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“…Potential conflict of interest was unclear in four studies [14,17,18,20]. In one study, the authors stated a potential conflict of interest (Cook Medical; speaker/honoraria; consultant/advisory board) [19].…”

Section: Fundingmentioning

confidence: 99%

“…After checking the inclusion and exclusion criteria, one study was excluded based on Chinese language. All data were extracted from the nine studies eligible for the systematic review (Supplement 1) [14][15][16][17][18][19][20][21][22]. These nine studies were all published by three research groups, with probably an overlap of patients.…”

Section: Search Strategy and Study Selectionmentioning

confidence: 99%

“…Of the nine studies, eight were cohort studies [14][15][16][17][19][20][21][22]. Only one study, comparing two different sizes of PVA particles, was a randomized, controlled trial [18].…”

Section: Study Design Characteristicsmentioning

confidence: 99%

“…However, we presume that interventional radiologists also performed the procedure in the other studies. The embolization procedure was performed using 90-180 or 180-300 lm nonspherical polyvinyl alcohol (PVA) particles [14][15][16][17][18][19], 300-500 lm microspheres [20,21], or 100-400 lm spherical embolic agents [22]. Mean total procedure time varied from 70.4 to 96.3 min (mean of the means 80.1 min), and the mean fluoroscopy time varied from 18 to 85.9 min (mean of the means 36.5 min).…”

Section: Embolization Procedures Descriptionmentioning

confidence: 99%

“…One cohort study compared bilateral versus unilateral embolization [19]. In total, 564 patients underwent a bilateral embolization, 91 a unilateral embolization, and for 22 patients it was unclear if one or both sides were treated [20,21]. In 13 patients, embolization could not be performed due to tortuosity of vessels.…”

Section: Embolization Procedures Descriptionmentioning

confidence: 99%

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The Role of Prostatic Arterial Embolization in Patients with Benign Prostatic Hyperplasia: A Systematic Review

Schreuder

Scholtens

Reekers

et al. 2014

Cardiovasc Intervent Radiol

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Purpose This study was designed to summarize the evidence on clinical outcomes and complications of prostatic arterial embolization (PAE) in patients with benign prostatic hyperplasia (BPH). Methods We searched Medline and Embase for PAE trials of patients with BPH upto November 2013. Two reviewers independently checked the inclusion and exclusion criteria and performed data extraction of study characteristics, quantitative and qualitative outcomes, and complications. Results The search yielded 562 studies, of which 9 articles with 706 patients were included. In these 9 articles, there was a possible overlap of data and the quality of 8 studies was assessed as poor. All patients had moderate-tosevere, lower urinary tract symptoms (LUTS). The mean age ranged from 63.4-74.1 years. After embolization, a decrease of the prostate volume (PV) and post void residual (PVR) was seen mainly in the first month with a further decrease up to 12 months, increasing afterwards. The prostate specific antigen (PSA) decreased up to 3 months after PAE, increasing afterwards. The peak urinary flow (Qmax) increased mainly the first month and decreased after 30 months. The international prostate symptom score (IPSS) and quality of life-related symptoms (QOL) improved mainly during the first month, with a further improvement up to 30 months. No deterioration of the international index of erectile function (IIEF) was seen after PAE. The PAE procedure seems safe. Conclusions Although the number of studies was small, qualitatively poor, and with overlap of patients, the initial clinical outcomes as reported up to 12 months seem positive and the procedure seems safe.

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Section: Fundingmentioning

confidence: 99%

Section: Search Strategy and Study Selectionmentioning

confidence: 99%

“…Of the nine studies, eight were cohort studies [14][15][16][17][19][20][21][22]. Only one study, comparing two different sizes of PVA particles, was a randomized, controlled trial [18].…”

Section: Study Design Characteristicsmentioning

confidence: 99%

Section: Embolization Procedures Descriptionmentioning

confidence: 99%

Section: Embolization Procedures Descriptionmentioning

confidence: 99%

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The Role of Prostatic Arterial Embolization in Patients with Benign Prostatic Hyperplasia: A Systematic Review

Schreuder

Scholtens

Reekers

et al. 2014

Cardiovasc Intervent Radiol

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Robotic Devices for Minimally Invasive Endovascular Interventions: A New Dawn for Interventional Radiology

Gündüz

Albadawi

Öklü

2020

Advanced Intelligent Systems

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Minimally invasive endovascular interventions have become the cornerstone of medical practice in the treatment of a variety of vascular diseases. Tools developed for these interventions have also opened new avenues for targeted delivery of therapeutics, such as chemotherapy or radiation therapy, using the vessels as highways into remote lesions. A more ambitious move toward an all‐endovascular approach to acute or chronic conditions, however, is fundamentally hindered by a variety of challenges, such as the complexity of the vascular anatomy, access to smaller vessels, the fragility of diseased vessels, emergency procedure requirements, prolonged exposure to ionizing X‐ray radiation, and patient‐specific factors including coagulopathy. These shortcomings necessitate new advances to the current practice. Smart soft‐body robots that fit the smallest vessels with high‐precision wireless control and autonomous capabilities have the potential to set the future standards of minimally invasive endovascular therapies. Herein, the current state of the small‐scale robotics from the viewpoint of endovascular applications is discussed, and their potential advantages to the existing tethered clinical devices are compared. Then, technical challenges and the clinical requirements toward realistic applications of small‐scale untethered robots inside the vasculature are discussed.

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Robotic Devices for Minimally Invasive Endovascular Interventions: A New Dawn for Interventional Radiology

Gündüz

Albadawi

Öklü

2021

Advanced Intelligent Systems

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Quality of Life and Clinical Symptom Improvement Support Prostatic Artery Embolization for Patients with Acute Urinary Retention Caused by Benign Prostatic Hyperplasia

Cited by 148 publications

References 14 publications

The Role of Prostatic Arterial Embolization in Patients with Benign Prostatic Hyperplasia: A Systematic Review

The Role of Prostatic Arterial Embolization in Patients with Benign Prostatic Hyperplasia: A Systematic Review

Robotic Devices for Minimally Invasive Endovascular Interventions: A New Dawn for Interventional Radiology

Robotic Devices for Minimally Invasive Endovascular Interventions: A New Dawn for Interventional Radiology

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