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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2020; 4(01): 40-43
DOI: 10.4103/AJIR.AJIR_22_19
Case Report

Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery Embolization

Mohamed Shaker
Department of Radiodiagnosis and Interventional Radiology, Faculty of Medicine, Ain Shams University, Cairo
,
Essam Hashem
Department of Radiodiagnosis and Interventional Radiology, Faculty of Medicine, Ain Shams University, Cairo
› Author Affiliations Financial support and sponsorship Nil.
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Prostate artery embolization (PAE) is a minimally invasive, safe, and effective treatment for benign prostatic hyperplasia. PAE can often be technically challenging due to atherosclerosis and tortuous anatomy, leading to failure of catheterizing one side of prostatic supply, resulting in unilateral PAE, which markedly reduces clinical success. Major anastomosis between both prostatic halves can be exploited for embolizing the entire prostate from a unilateral approach when one side cannot be catheterized. If this anastomosis is extensive enough, clinical success is assumed to be equivalent to bilateral PAE. There is a limited number of published cases in this regard; our case report shows how to detect and exploit this anastomosis.

Keywords:

Benign prostatic hyperplasia - lower urinary tract symptoms - Proximal Embolization First Then Embolize Distal (PErFecTED) - prostate - prostate artery embolization


Publication History

Received: 12 September 2019
Received: 03 October 2019

Accepted: 12 December 2019

Article published online:
16 March 2021

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