Prostatic Arterial Embolization for Control of Hematuria in Patients with Advanced Prostate Cancer.

Authors :: Chen JW
Shin JH
Tsao TF
Ko HG
Yoon HK
Han KC
Thamtorawat S
Hong B
Source :: Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2017 Feb; Vol. 28 (2), pp. 295-301.
Publication Year :: 2017
Abstract: Nine patients with advanced prostate cancer (stage T4) underwent prostatic arterial embolization (PAE) for refractory prostatic hematuria. Angiograms showed prostatic neovascularity in all cases, and complete PAE was achieved in 8 cases (89% technical success rate). Gross hematuria ceased after PAE in 6 cases, translating to a 67% clinical success rate. There were no PAE-related complications. At 3-month follow-up, 2 cases showed recurrent hematuria, 4 patients had died from PAE-unrelated etiologies, and only 3 patients survived and were without gross hematuria. PAE could represent an alternative option for patients with advanced prostate cancer to control hematuria.<br /> (Copyright © 2016 SIR. Published by Elsevier Inc. All rights reserved.)

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