The short- and long-term effectiveness of transcatheter arterial embolization in patients with intractable hematuria - 10/02/16
, B. Şanal a, B. Aras b, H. Bozkaya c, C. Çınar c, S. Güneyli d, M. Gök e, G. Adam f, F. Düzgün g, İ. Oran c
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Purpose |
Selective transarterial embolization (TAE) of the internal iliac artery is a well-known alternative technique to control intractable bladder hemorrhage (IBH). We explored the short- and long-term effectiveness of, and clinical outcomes after, TAE in patients with IBH.
Materials and methods |
In this retrospective study, we reviewed the hospital records of 18 IBH patients non-responsive to conservative medications who underwent TAE between January 2003 and May 2014. The early- and long-term effectiveness of TAE was investigated in the context of hematuria control, complications, mortality, requirement for blood transfusions, and hematocrit level.
Results |
Sixteen of the 18 patients underwent endovascular treatment; the technical success rate was 88%. TAE allowed complete remission in 16 patients (100% clinical success). On follow-up, mean hematocrit (P=0.003) and hemoglobin (P=0.005) levels significantly improved. Thirteen of the 16 patients (81%) required no further emergency admission after TAE during a mean follow-up period of 18.1months (range, 3–105months).
Conclusion |
TAE is a feasible, effective, and safe technique in both the short- and long-term for the treatment of IBH.
Le texte complet de cet article est disponible en PDF.Keywords : Transarterial embolization, Effectiveness, Intractable hematuria, Bladder, Prostate cancer
Plan
Vol 97 - N° 2
P. 197-201 - février 2016 Retour au numéro
Article précédent
- Dose reduction with iterative reconstruction in multi-detector CT: What is the impact on deformation of circular structures in phantom study?
- J. Greffier, F. Macri, A. Larbi, A. Fernandez, F. Pereira, C. Mekkaoui, J.-P. Beregi
- Ipsilateral breast cancer recurrence after Deep Inferior Epigastric Perforator (DIEP) flap reconstruction: Incidence and radiological presentation
- J.A. Farras Roca, T.H. Dao, L. Lantieri, C. Lepage, R. Bosc, E. Meyblum, F. Pigneur, P. Beaussart, E. Assaf, J.L. Totobenazara, E. Calitchi, Y. Belkacemi, A. Rahmouni, A. Luciani
Bienvenue sur EM-consulte, la référence des professionnels de santé.