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Feasibility of Outpatient Transradial Prostatic Artery Embolization and Safety of a Shortened Deflation Protocol for Hemostasis

Authors :
Gregory Amouyal
Louis Tournier
Constance de Margerie-Mellon
Damien Bouda
Atanas Pachev
Jessica Assouline
Cédric de Bazelaire
Florent Marques
Solenne Le Strat
François Desgrandchamps
Eric De Kerviler
Source :
Journal of Personalized Medicine; Volume 12; Issue 7; Pages: 1138
Publication Year :
2022

Abstract

Background: to evaluate the safety and feasibility of a shorter time to hemostasis applied to outpatient transradial (TR) Prostatic Artery Embolization (PAE). Methods: a retrospective bi-institutional study was conducted between July 2018 and April 2022 on 300 patients treated by outpatient TR PAE. Indications included lower urinary tract symptoms, acute urinary retention, and hematuria. Mean patient height was 176 ± 6.3 (158–192) cm. The primary endpoint was safety of a 45 min deflation protocol for hemostasis. The secondary endpoint was the feasibility of PAE using TR access. Results: technical success was 98.7% (296/300). There was one failure due to patient height. Mean DAP/fluoroscopy times were 16,225 ± 12,126.3 (2959–81,608) μGy·m2/35 ± 14.7 (11–97) min, and mean time to discharge was 80 ± 6 (75–90) min. All access site and embolization-related adverse events were minor. Mild hematoma occurred in 10% (30/300), radial artery occlusion (RAO) in 10/300 (3.3%) cases, and history of smoking was a predictor for RAO. There was no major event. Conclusion: the safety of TR PAE using a 45 min time to hemostasis was confirmed, and TR PAE is feasible in most cases. Radial artery occlusion was still observed and may be favored by smoking.

Details

ISSN :
20754426
Volume :
12
Issue :
7
Database :
OpenAIRE
Journal :
Journal of personalized medicine
Accession number :
edsair.doi.dedup.....07c69bc074fee9e4bd6f4415f0f0a214