Subject(s)
Angiography/methods , Arteries/diagnostic imaging , Computed Tomography Angiography , Contrast Media/administration & dosage , Embolization, Therapeutic , Lower Urinary Tract Symptoms/therapy , Prostate/blood supply , Prostatic Hyperplasia/therapy , Saline Solution/administration & dosage , Urinary Bladder/diagnostic imaging , Administration, Intravesical , Aged, 80 and over , Humans , Lower Urinary Tract Symptoms/diagnostic imaging , Lower Urinary Tract Symptoms/etiology , Male , Predictive Value of Tests , Prostatic Hyperplasia/complications , Prostatic Hyperplasia/diagnostic imaging , Time Factors , Treatment OutcomeSubject(s)
Arteries , Embolization, Therapeutic , Leiomyoma/blood supply , Leiomyoma/therapy , Uterine Cervical Neoplasms/blood supply , Uterine Cervical Neoplasms/therapy , Uterine Hemorrhage/therapy , Vagina/blood supply , Adult , Arteries/diagnostic imaging , Computed Tomography Angiography , Cone-Beam Computed Tomography , Female , Humans , Leiomyoma/diagnostic imaging , Pregnancy , Time Factors , Time-to-Pregnancy , Treatment Outcome , Uterine Cervical Neoplasms/diagnostic imaging , Uterine Hemorrhage/diagnostic imagingABSTRACT
Angiograms and cone-beam computed tomography scans of 36 consecutive prostate artery embolization patients (72 hemipelves) between October 2014 and February 2018 were reviewed. The hemipelves were classified according to the presence of dual central gland (CG) blood supply and the pattern of vascularization: Type 1 with a single CG blood supply (83.3%; n = 60); Type 2 with 2 independent CG arteries with overlapping territories (9.7%; n = 7); and Type 3 with 2 independent CG arteries with isolated territories (7%; n = 5). Up to 20% of pelvic sides may have more than 1 independent CG prostate artery that should be searched for during prostate artery embolization.
Subject(s)
Arteries/abnormalities , Prostate/blood supply , Vascular Malformations/classification , Aged , Angiography , Arteries/diagnostic imaging , Cone-Beam Computed Tomography , Embolization, Therapeutic , Humans , Male , Middle Aged , Predictive Value of Tests , Prostatic Hyperplasia/diagnostic imaging , Prostatic Hyperplasia/therapy , Retrospective Studies , Vascular Malformations/diagnostic imagingABSTRACT
Two patients with placenta percreta underwent uterine artery embolization (UAE) for abnormally invasive placenta (AIP) in the first trimester. Patient 1 had a 9-week cervical ectopic, while Patient 2 had a 9-week cesarean scar pregnancy. Elective termination of pregnancy was performed in both patients. UAE was performed with tris-acryl gelatin microspheres as well as gelfoam until stasis and was repeated in cases of revascularization. Both patients were followed with US/MRI/MRA scans and ß-hCG levels. Revascularization occurred in both patients following UAE, requiring multiple embolizations to achieve complete placental involution. Serial bland UAE may be an effective technique in the treatment of first-trimester AIP, with the distinct advantage of maintaining a patient's fertility. LEVEL OF EVIDENCE: Level IV.
