The short- and long-term effectiveness of transcatheter arterial embolization in patients with intractable hematuria

Korkmaz, Mehmet; Şanal, Bekir; Aras, Bekir; Bozkaya, Halil; Çınar, Celal; Güneyli, Serkan; Gök, Mustafa; Adam, Gürhan; Düzgün, Fatih; Oran, İsmail

doi:10.1016/j.diii.2015.06.020

Cited by 36 publications

(33 citation statements)

References 25 publications

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“…Full manuscripts were evaluated in 11 of 27 studies that were included in the review [1] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] . All included studies were observational cohort studies, with no randomisation or control groups, apart from in relation to the materials used for embolisation and reported on IBH.…”

Section: Resultsmentioning

confidence: 99%

“…Some studies defined success as control and no recurrence of haematuria, with the success rate ranging from 43% [10] , [13] up to 100% [1] , [15] , [22] . Korkmaz et al [15] , subdivided the success rate into clinical success, control of haematuria, and technical success. The technical success rate reached 88%, whilst the clinical success rate reached 100%.…”

Section: Resultsmentioning

confidence: 99%

“…Some studies focused on the need for blood transfusion as an indicator of success [22] , whilst others focused on haemoglobin and haematocrit levels [15] . Halpenny et al [22] reported that the mean transfusion requirement was 8.6 units before embolisation and 0.3 units after embolisation.…”

Section: Resultsmentioning

confidence: 99%

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Selective embolisation for intractable bladder haemorrhages: A systematic review of the literature

Taha

Shokeir

Aboumarzouk

2018

Arab Journal of Urology

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ObjectiveTo establish the current evidence and assess the effectiveness and safety of selective transarterial embolisation (STE) to control intractable bladder haemorrhage (IBH).Materials and methodsWith a rise in the use of STE for the treatment of IBH, a systematic review was performed according to the Cochrane reviews guidelines and in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.ResultsThe literature search yielded 38 studies, of which 11 were excluded because of irrelevance of data. All included studies were observational cohort studies, with no randomisation or control groups apart from in relation to the materials used for embolisation. The studies were published between 1978 and 2016. There were 295 patients with an age range between 51 and 95 years. The success rate ranged from 43% up to 100%. The most reported complication was post-embolisation syndrome, although other complications were described such as mild transient gluteal claudication, nausea, and vomiting.ConclusionSTE of the internal iliac artery is a safe and effective alternative technique to control severe IBH, and has been successfully applied over many years to treat bladder haemorrhage associated with terminal pelvic malignancy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Selective embolisation for intractable bladder haemorrhages: A systematic review of the literature

Taha

Shokeir

Aboumarzouk

2018

Arab Journal of Urology

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“…Small case series describe clinical scenarios of haemorrhagic radiation cystitis combined with additional causes of intractable haematuria originating from the urinary bladder or prostate gland. In these series, resolution of haematuria varies from 90% to 100% and is dependent on the underlying patient group requiring embolization . Long‐term resolution of haematuria ranges from 70% to 81% after a median follow‐up of 16–18 months.…”

Section: Treatment Optionsmentioning

confidence: 97%

Current management of radiation cystitis: a review and practical guide to clinical management

et al. 2018

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“…57 Success rates of up to 88% have been reported. 60 The anatomy of the prostatic arteries is highly variable. The number of independent prostatic arteries arising from each pelvic sidewall is variable as well.…”

Section: Prostatementioning

confidence: 99%

Palliative Embolization for Refractory Bleeding

Niekamp

Sheth

Kuban

et al. 2017

Semin intervent Radiol

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Bleeding is a common and often challenging complication of malignancy. Etiologies of hemorrhage in this patient population vary, and bleeding may present as an acute, life-threatening emergency or a chronic, low-volume blood loss. For patients with advanced malignancies, interventions to manage bleeding must be balanced by the patient's life expectancy and quality of life. As such, minimally invasive procedures such as transarterial embolization are useful therapeutic options in appropriately selected patients. There is a rich history of palliative transarterial embolization for refractory bleeding in cancer patients. This technique was first applied in the 1970s and has since become an established treatment tool for malignancy-related bleeding throughout the body. While the preponderance of published data comprised case reports and small retrospective studies, the use of embolization continues to expand as experience grows and techniques are refined. In this review, we summarize the literature and provide our perspective on embolization for refractory bleeding in cancer patients.

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The short- and long-term effectiveness of transcatheter arterial embolization in patients with intractable hematuria

Abstract: TAE is a feasible, effective, and safe technique in both the short- and long-term for the treatment of IBH.

Cited by 36 publications

References 25 publications

Selective embolisation for intractable bladder haemorrhages: A systematic review of the literature

Selective embolisation for intractable bladder haemorrhages: A systematic review of the literature

Current management of radiation cystitis: a review and practical guide to clinical management

Palliative Embolization for Refractory Bleeding

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