Quality Improvement Guidelines for Percutaneous Transcatheter Embolization

Angle, John F.; Siddiqi, Nasir H.; Wallace, Michael J.; Kundu, Sanjoy; Stokes, LeAnn S.; Wojak, Joan C.; Cardella, John F.

doi:10.1016/j.jvir.2010.06.014

Cited by 244 publications

(86 citation statements)

References 110 publications

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“…Postembolization symptoms and complications were assessed according to the quality improvement guidelines for percutaneous transcatheter embolization [18]. Complications were considered as minor if they could be addressed by outpatient medical treatment and major if they resulted in prolonged hospitalization, readmission, or additional surgery.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Nonspherical Polyvinyl Alcohol Particles and Microspheres for Prostatic Arterial Embolization in Patients with Benign Prostatic Hyperplasia

Hwang

Park

Chang³

et al. 2017

BioMed Research International

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Purpose To report early results following prostatic artery embolization (PAE) and compare outcomes between nonspherical polyvinyl alcohol (PVA) particles and microspheres to treat lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). Methods PAE was performed in nine patients (mean age: 78.1 years) with symptomatic BPH. Embolization was performed using nonspherical PVA particles (250–355 μm) in four patients and microspheres (300–500 μm) in five patients. Results PAE was technically successful in all nine patients (100%). During a mean follow-up of 10.1 months, improvements in mean International Prostate Symptom Score (IPSS), Quality of Life (QoL), prostatic volume (total volume and transition zone), and peak urinary flow (Qmax) were 9.8 points, 2.3 points, 28.1 mL, 17.8 mL, and 4.5 mL/s, respectively. Clinical success was obtained in seven of nine patients (78%). Patients in the microsphere group showed greater improvement in IPSS, QoL, prostatic volume, and Qmax compared to patients in the nonspherical PVA particle group. However, significant difference was noted only in the prostatic volume. Conclusion PAE is a feasible, effective, and safe treatment option for BPH with LUTS. Use of microspheres showed greater prostatic volume reduction compared to nonspherical PVA particles.

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Section: Methodsmentioning

confidence: 99%

Comparison of Nonspherical Polyvinyl Alcohol Particles and Microspheres for Prostatic Arterial Embolization in Patients with Benign Prostatic Hyperplasia

Hwang

Park

Chang³

et al. 2017

BioMed Research International

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“…2 The complications are dependent on operator experience, vascular territory affected, the specific lesion addressed, and the clinical condition of the patient. 4 The procedure has been associated with sepsis, abscess formation, non-target embolization, haemorrhage and, even, mortality. 4 A pseudoneurysm needs to be treated when it is symptomatic, not resolving with conservative management or enlarging.…”

Section: Discussionmentioning

confidence: 99%

“…4 The procedure has been associated with sepsis, abscess formation, non-target embolization, haemorrhage and, even, mortality. 4 A pseudoneurysm needs to be treated when it is symptomatic, not resolving with conservative management or enlarging. 2 We speculate that possible risks of urethral pseudoaneurysm embolization are erectile dysfunction and urethral stricture due to necrosis.…”

Section: Discussionmentioning

confidence: 99%

A bulbar artery pseudoaneurysm following traumatic urethral catheterization

Bettez

Aubé

El-Sherbiny

et al. 2017

CUAJ

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Cite as: Can Urol Assoc J 2017;11(1-2):E47-9. http://dx.doi.org/10.5489/cuaj.4050 Published online January 12, 2017 AbstractTraumatic urethral catheterization may result in a number of serious complications. A rare occurrence is the development of a urethral pseudoaneurysm. We report the case of a 13-year-old male who required placement of a Foley catheter for an orthopedic surgical procedure. The Foley was misplaced in the bulbourethra, resulting in the development of a bulbar artery pseudoaneurysm. Profuse bleeding via the urethra was noted after removal of the catheter, and the patient experienced severe intermittent hematuria during the postoperative period. Cystoscopy revealed a pulsatile mass within the bulbourethra. Angiography confirmed a bulbar artery pseudoaneurysm, which was successfully embolized with resolution of bleeding.

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“…We defined outcome criteria in accordance with the guidelines of the Society of Interventional Radiology (SIR) [16]. …”

Section: Methodsmentioning

confidence: 99%

Treatment of Nonvariceal Gastrointestinal Hemorrhage by Transcatheter Embolization

Ali

Haq

Salam

et al. 2013

Radiology Research and Practice

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Purpose. To investigate the sensitivity of mesenteric angiography, technical success of hemostasis, clinical success rate, and complications of transcatheter embolization for the treatment of acute nonvariceal gastrointestinal hemorrhage. Material and Methods. A retrospective review of 200 consecutive patients who underwent mesenteric arteriography for acute nonvariceal gastrointestinal hemorrhage between February 2004 and February 2011 was done. Results. Of 200 angiographic studies, 114 correctly revealed the bleeding site with mesenteric angiography. 47 (41%) patients had upper gastrointestinal hemorrhage and 67 (59%) patients had lower gastrointestinal hemorrhage. Out of these 114, in 112 patients (98%) technical success was achieved with immediate cessation of bleeding. 81 patients could be followed for one month. Clinical success was achieved in 72 out of these 81 patients (89%). Seven patients rebled. 2 patients developed bowel ischemia. Four patients underwent surgery for bowel ischemia or rebleeding. Conclusion. The use of therapeutic transcatheter embolization for treatment of acute gastrointestinal hemorrhage is highly successful and relatively safe with 98% technical success and 2.4% postembolization ischemia in our series. In 89% of cases it was definitive without any further intervention.

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Quality Improvement Guidelines for Percutaneous Transcatheter Embolization

Cited by 244 publications

References 110 publications

Comparison of Nonspherical Polyvinyl Alcohol Particles and Microspheres for Prostatic Arterial Embolization in Patients with Benign Prostatic Hyperplasia

Comparison of Nonspherical Polyvinyl Alcohol Particles and Microspheres for Prostatic Arterial Embolization in Patients with Benign Prostatic Hyperplasia

A bulbar artery pseudoaneurysm following traumatic urethral catheterization

Treatment of Nonvariceal Gastrointestinal Hemorrhage by Transcatheter Embolization

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