Repeat Prostatic Artery Embolization

Alberto German Kenny; Olivier Pellerin; Nadia Moussa; Costantino Del Giudice; Carole Déan; Marc Sapoval

doi:10.1016/j.jvir.2020.03.012

Repeat Prostatic Artery Embolization

J Vasc Interv Radiol. 2020 Jul;31(7):1090-1095.e1. doi: 10.1016/j.jvir.2020.03.012. Epub 2020 Jun 10.

Authors

Alberto German Kenny¹, Olivier Pellerin², Nadia Moussa², Costantino Del Giudice², Carole Déan², Marc Sapoval²

Affiliations

¹ Interventional Radiology Department, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, 20, rue Leblanc, 75015 Paris, France. Electronic address: alberto.kenny85@gmail.com.
² Interventional Radiology Department, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, 20, rue Leblanc, 75015 Paris, France.

PMID: 32534974
DOI: 10.1016/j.jvir.2020.03.012

Abstract

This is a single-center retrospective analysis of 3 patients (mean age, 61 y ± 8.6) who underwent repeat prostatic artery (PA) embolization (PAE; rPAE) because of clinical failure after PAE. Revascularization of the central gland through a recanalized PA was the most frequent pattern observed (5 of 7; 71.4%), followed by revascularization through penile collateral vessels (2 of 7; 28.6%). Technical success during rPAE was achieved in 5 hemiprostates (83.3%). Clinical success at 6 months after rPAE was achieved in 2 of 3 patients (66.6%). Implications of these findings could be valuable to those performing PAE.

MeSH terms

Aged
Arteries* / diagnostic imaging
Embolization, Therapeutic*
Humans
Lower Urinary Tract Symptoms / diagnostic imaging
Lower Urinary Tract Symptoms / physiopathology
Lower Urinary Tract Symptoms / therapy*
Male
Middle Aged
Prostate / blood supply*
Prostatic Hyperplasia / diagnostic imaging
Prostatic Hyperplasia / physiopathology
Prostatic Hyperplasia / therapy*
Retreatment
Retrospective Studies
Treatment Failure