Retrograde Prostatic Arterial Embolization via Penile Collateral in Chronic Total Occlusion of the Prostatic Artery

Prostatic artery embolization via inferior epigastric collateral in chronic total occlusion of the anterior division of the left internal iliac artery

“…However, this technique does not consistently achieve the expected effect, especially in cases of prolonged total occlusion. Mohan et al reported a chronic total occlusion of the left prostatic artery, which was successfully embolized via the collateral of the ipsilateral internal pudendal artery [9] .…”

Prostate Artery Embolization

“…Atherosclerosis commonly affects the iliac vasculature, and can lead to technical difficulties during PAE. 25 Given the concomitant comorbidities in this patient population, tortuous common or internal iliac arteries are often encountered. Additionally, the prostatic arteries often arise at acute angles, and exhibit atherosclerotic narrowing.…”

Dealing with Prostatic Arteries—How Many Roads Must a Man Walk Down?

“…Probably not. PAs arising from penile arteries have been reported as collateral routes in patients with PA occlusion due to atherosclerosis (11). Naturally, they can also develop after nonatherosclerotic iatrogenic occlusions of the PAs.…”