Bleeding after prostatectomy: endovascular management.
Transarterial embolization
angiography
interventional radiology (IR)
prostate bleeding
surgical complications
Journal
Gland surgery
ISSN: 2227-684X
Titre abrégé: Gland Surg
Pays: China (Republic : 1949- )
ID NLM: 101606638
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
entrez:
12
6
2019
pubmed:
12
6
2019
medline:
12
6
2019
Statut:
ppublish
Résumé
To evaluate role of interventional radiology (IR) in post-surgical haemorrhagic complications of prostatectomy. A retrospective study was performed. From April 2015 to January 2018, 10 patients referred to IR Department for haemorrhagic complications post radical prostatectomy (RP). All patients (mean age: 68.5 years; range, 58-85 years) were successfully treated with superselective trans-arterial embolization. We evaluated technical and clinical success and post procedural complications. Technical and clinical success was 100% (10/10) and no major complications were identified. No complications related to the endovascular procedures occurred. No recurrences during follow-up (8-20 months) were observed. Among minor complications, only 20% (2/10) developed mild post embolization syndrome. The endovascular management of significant haemorrhage after prostatectomy is safe and long-term effective, with no major ischaemic events associated to embolization.
Sections du résumé
BACKGROUND
BACKGROUND
To evaluate role of interventional radiology (IR) in post-surgical haemorrhagic complications of prostatectomy.
METHODS
METHODS
A retrospective study was performed. From April 2015 to January 2018, 10 patients referred to IR Department for haemorrhagic complications post radical prostatectomy (RP). All patients (mean age: 68.5 years; range, 58-85 years) were successfully treated with superselective trans-arterial embolization. We evaluated technical and clinical success and post procedural complications.
RESULTS
RESULTS
Technical and clinical success was 100% (10/10) and no major complications were identified. No complications related to the endovascular procedures occurred. No recurrences during follow-up (8-20 months) were observed. Among minor complications, only 20% (2/10) developed mild post embolization syndrome.
CONCLUSIONS
CONCLUSIONS
The endovascular management of significant haemorrhage after prostatectomy is safe and long-term effective, with no major ischaemic events associated to embolization.
Identifiants
pubmed: 31183320
doi: 10.21037/gs.2019.02.03
pii: gs-08-02-108
pmc: PMC6534764
doi:
Types de publication
Journal Article
Langues
eng
Pagination
108-114Déclaration de conflit d'intérêts
Conflicts of Interest: The authors have no conflicts of interest to declare.
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