2017
DOI: 10.1007/s00270-017-1715-0
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Endovascular Management of Severe Arterial Haemorrhage After Radical Prostatectomy: A Case Series

Abstract: The endovascular management of arterial haemorrhage after RP is safe and effective, without post-embolization ischaemic events.

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Cited by 11 publications
(14 citation statements)
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“…Embolization of the main trunk or whole anterior or posterior divisions of the internal iliac artery, compared to superselective embolization as distal as possible, increased a chance of ischemic complications. When the gluteal artery was not protected buttocks and upper tights pain could occur as a complication [ 39 , 40 ]. Rastinhead et al [ 6 ] reported an individual case with rectovesical fistula one month after embolization.…”
Section: Resultsmentioning
confidence: 99%
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“…Embolization of the main trunk or whole anterior or posterior divisions of the internal iliac artery, compared to superselective embolization as distal as possible, increased a chance of ischemic complications. When the gluteal artery was not protected buttocks and upper tights pain could occur as a complication [ 39 , 40 ]. Rastinhead et al [ 6 ] reported an individual case with rectovesical fistula one month after embolization.…”
Section: Resultsmentioning
confidence: 99%
“…The complication was related to prior advanced cancer status with rectum invasion. One microcoil migration from the anterior division of the internal iliac artery [ 25 ] and singular case with a pseudoaneurysm of the common femoral artery [ 40 ] had been described in the studies. Malling et al [ 38 ] used CIRSE classification system for complications to reveal post-embolization difficulties.…”
Section: Resultsmentioning
confidence: 99%
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“…Appropriate characterization is important because some surgeries can require ligation and division of these arteries. For example, one patient in a study of arterial hemorrhaging after radical prostatectomy had both those arteries injured (Bonne et al, 2017). The superior vesical arteries are also in danger of laceration during laparoscopic lymph node dissection during, for example, excision of colorectal cancers (Ryu et al, 2022).…”
Section: Discussionmentioning
confidence: 99%
“…First, distal embolization is performed using small embolic agents (<300 ​μm); next, proximal embolization is achieved using larger embolic agents (≥300 ​μm). 13 , 16 Protective embolization of the arteries of important organs, such as the penis, bladder, and rectum, should be performed using microcoils when superselective catheterization fails. 13 Additionally, when patients suffer severe hemorrhage and their vital signs are unstable, embolization of the anterior iliac artery using biodegradable embolic materials, such as gelatin sponge particles, can be performed if it is difficult to superselectively catheterize the target arteries.…”
Section: Discussionmentioning
confidence: 99%