Treatment of High-flow Priapism with Superselective Transcatheter Embolization in 27 Patients: A Multicenter Study

Kim, Kyung Rae; Shin, Ji Hoon; Song, Ho Young; Ko, Gi Young; Yoon, Hyun Ki; Sung, Kyu Bo; Ahn, Tae Young; Kim, Chang Won; Kim, Young Hwan; Ko, Heung Kyu; Kwak, Byung Kook; Shim, Hyung Jin; Chung, Hwan Hoon; Shin, Sung Wook; Bae, Jae Ik

doi:10.1016/j.jvir.2007.06.030

Cited by 45 publications

(30 citation statements)

References 19 publications

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“…NBCA is also used to induce embolization in cases involving bleeding caused by iatrogenic damage or trauma [25,39,70,75,78,116,117]. In particular, NBCA is a useful embolic material in the following situations: (a) cases in which pseudoaneurysms cannot be embolized via selective catheterization using the isolation technique; (b) embolization involving the preservation of the parent artery [56,134,149,163,167,174,183]; (c) cases in which coil embolization might be unsuitable because of the condition of the target vessels, e.g., those involving markedly tortuous, stenotic, or fine vessels [54,72,87,135,138,165]; (d) cases involving patients in a hypocoagulable state (refer to CQ6).…”

Section: International Situationmentioning

confidence: 99%

Guidelines for the use of NBCA in vascular embolization devised by the Committee of Practice Guidelines of the Japanese Society of Interventional Radiology (CGJSIR), 2012 edition

et al. 2014

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Section: International Situationmentioning

confidence: 99%

Guidelines for the use of NBCA in vascular embolization devised by the Committee of Practice Guidelines of the Japanese Society of Interventional Radiology (CGJSIR), 2012 edition

et al. 2014

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“…NBCA is a permanent embolizing agent that quickly polymerizes when in contact with an ionic medium, such as blood, resulting in immediate vascular occlusion [9]. In the previous reports, the frequency of erectile dysfunction after transcatheter embolization using NBCA for high-flow priapism was very low; however, microcatheter was superselectively placed in/near the arteriocavernosal fistula in most of the cases [11][12][13]. In TAE, there is a theoretical risk of erectile dysfunction if the treatment has been performed via occlusion of the extensive cavernosal arteries with NBCA.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Direct Puncture Embolization with N-butyl-cyanoacrylate for High-flow Priapism

Tokue

Shibuya

Ueno

et al. 2016

Cardiovasc Intervent Radiol

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There are many treatment options in high-flow priapism. Those mentioned most often are watchful waiting, Doppler-guided compression, endovascular highly selective embolization, and surgery. We present a case of high-flow priapism in a 57-year-old man treated by percutaneous direct puncture embolization of a post-traumatic left cavernosal arteriovenous fistula using N-butyl-cyanoacrylate. Erectile function was preserved during a 12-month follow-up. No patients with percutaneous direct puncture embolization for high-flow priapism have been reported previously. Percutaneous direct puncture embolization is a potentially useful and safe method for management of high-flow priapism.

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“…4 Recurrence rates are low (7%-27%). [12][13][14] Embolization in children, although successful, is technically challenging and requires treatment in a specialist pediatric vascular radiology department. 15,16 We report an interesting case of priapism, which was resistant to each treatment applied for the patient.…”

Section: Discussionmentioning

confidence: 99%

Resistant pediatric priapism: A real challenge for the urologist

Sekerci

Akbal

Şener

et al. 2015

CUAJ

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Priapism in pediatric patients is a rare entity. We present an 8-yearold boy with known cerebral palsy. He came to the emergency department with sustained painful erection for 12 hours. Physical examination showed rigid penis. Blood count and biochemical analysis were normal. Although penile Doppler ultrasound revealed normal arterial and venous flow, cavernosal blood gas was hypoxic. A total of 50 mL of dark blood was aspirated, and 2 mL of 0.001% adrenalin solution was applied to both corpus cavernosum, twice within 20 minutes, which eventually did not achieve detumescence. A distal Winter shunt was performed at the end of which the penis was semi-flaccid. By the 18th hour of surgery, the penis re-gained painful erection status, so an Al-Ghorab shunt was performed. After the Al-Ghorab shunt, the penis was still in the semi-flaccid state. The next day, an angiography was performed and an arteriovenous fistula was discovered and treated by embolization. The flaccid state was achieved and the patient was discharged the day after the embolization.

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Treatment of High-flow Priapism with Superselective Transcatheter Embolization in 27 Patients: A Multicenter Study

Cited by 45 publications

References 19 publications

Guidelines for the use of NBCA in vascular embolization devised by the Committee of Practice Guidelines of the Japanese Society of Interventional Radiology (CGJSIR), 2012 edition

Guidelines for the use of NBCA in vascular embolization devised by the Committee of Practice Guidelines of the Japanese Society of Interventional Radiology (CGJSIR), 2012 edition

Percutaneous Direct Puncture Embolization with N-butyl-cyanoacrylate for High-flow Priapism

Resistant pediatric priapism: A real challenge for the urologist

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