Prostatic Arterial Embolization for Control of Hematuria in Patients with Advanced Prostate Cancer

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• 作者：Jhih-Wei Chen ; MD^a ; ^c ; Ji Hoon Shin ; MD^a ; ^{jhshin@amc.seoul.kr} ; Teng-Fu Tsao ; MD^c ; Heung-Gyu Ko ; MD^a ; Hyun-Ki Yoon ; MD^a ; Ki-Chang Han ; MD^a ; Somrach Thamtorawat ; MD^a ; ^d ; Bumsik Hong ; MD^b
• 关键词：BPH ; benign prostatic hyperplasia ; PAE ; prostatic artery embolization ; TNM ; tumor/node/metastasis [staging]
• 刊名：Journal of Vascular and Interventional Radiology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：28
• 期：2
• 页码：295-301
• 全文大小：1259 K
• 卷排序：28

文摘

Nine patients with advanced prostate cancer (stage T4) underwent prostatic arterial embolization (PAE) for refractory prostatic hematuria. Angiograms showed prostatic neovascularity in all cases, and complete PAE was achieved in 8 cases (89% technical success rate). Gross hematuria ceased after PAE in 6 cases, translating to a 67% clinical success rate. There were no PAE-related complications. At 3-month follow-up, 2 cases showed recurrent hematuria, 4 patients had died from PAE-unrelated etiologies, and only 3 patients survived and were without gross hematuria. PAE could represent an alternative option for patients with advanced prostate cancer to control hematuria.