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Review
. 2024 Aug 19;41(3):302-308.
doi: 10.1055/s-0044-1788622. eCollection 2024 Jun.

Prostate Artery Embolization with 4D-CT

Andras Bibok  1   2 , Bela Kis  2 , Nainesh Parikh  2
Affiliations
Review

Prostate Artery Embolization with 4D-CT

Andras Bibok et al. Semin Intervent Radiol. .

Abstract

Prostate artery embolization (PAE) is a technically challenging angiographic therapy that has been shown to have excellent clinical outcomes for men with benign prostatic hyperplasia and lower urinary tract symptoms. Although clinical outcomes have been well documented, several questions remain regarding various technical details of the procedure. This article is a brief review of indications and technical parameters of PAE as well as commonly debated topics throughout the literature. Finally, the article serves to report tips and tricks from a high-volume center.

Keywords: benign prostatic hyperplasia; interventional radiology; therapeutic embolization.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Superselective DSA of the left PA with opacification of the entire hemiprostate and no collateral flow to pelvic viscera. DSA, digital subtraction angiography; PA, prostatic artery.
Fig. 2
Fig. 2
Correlative 4D-CT with microcatheter in the left PA confirming full coverage of the prostate parenchyma and no collateral flow.
Fig. 3
Fig. 3
Superselective DSA of the left PA after prophylactic coiling of an intraprostatic penile collateral. Angiography raises the question of collateral flow to the base of the penis (arrow). DSA, digital subtraction angiography; PA, prostatic artery.
Fig. 4
Fig. 4
Correlative 4D-CT with the microcatheter in the left PA demonstrating arterial supply to the corpus cavernosum. The vessel was coil embolized, therefore allowing for safe, complete embolization of the left prostatic artery.
Fig. 5
Fig. 5
Standard interventional radiology suite setup with 4D-CT.
See this image and copyright information in PMC

References

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