title: Embolotherapy for lower urinary tract hemorrhage.
abstract: The patient characteristics, techniques used, and outcomes of 11 patients with lower urinary tract hemorrhage treated with embolotherapy are described. The authors focus on bilateral superselective embolization of the arterial supply to the bladder and techniques to embolize multiple small vessels supplying the bladder when the vascular anatomy is complicated and superselective catheterization is not possible. The immediate success rate was 100%, with three later recurrences. One procedure was complicated by asymptomatic occlusion of the posterior division of the internal iliac artery. Embolotherapy can provide at least short-term success adequate to improve quality of life for palliation with few complications.
authors.affiliation: Department of Medical Imaging, Moncton Hospital, 135 MacBeath Avenue, Moncton, NB, E1C Z8 Canada. vprasad7@hotmail.com
authors.forename: Vikash
authors.initials: V
authors.lastname: Prasad
authors.forename: Barry A
authors.initials: BA
authors.lastname: Sacks
authors.forename: Stanley
authors.initials: S
authors.lastname: Kraus
authors.forename: Melvin E
authors.initials: ME
authors.lastname: Clouse
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006470:Hemorrhage / Q000628:therapy*; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011145:Polyvinyls / Q000008:administration & dosage*; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000628:therapy*
chemical_list: D006490:Hemostatics; D011145:Polyvinyls; C026699:ivalon sponge