title: Vesical Artery Embolization in Haemorrhagic Cystitis in Children.
abstract: Haemorrhagic cystitis is an uncommon and, in its severe form, potentially life-threatening complication of haematopoietic stem cell transplantation or cancer therapy in children. The severe form involves macroscopic haematuria with blood clots, urinary obstruction and/or renal impairment. There are many therapeutic options to treat acute haemorrhage, but only recombinant factor VII has a high level of clinical evidence in children. Supraselective vesical artery embolization (SVAE) is an increasingly used therapeutic procedure for controlling haemorrhage in adults, but is less commonly used in children. This might be due to several factors, such as the invasive nature of the procedure, lack of appropriate medical experience and possible long-term side effects. We present three cases of children successfully treated by means of effective SVAE.
authors: Hospital Clinic, Villarroel Street, 170, 08036, Barcelona, Spain. agargamez@gmail.com.|Hospital de la Santa Creu y Sant Pau, Sant Quintí Street, 89, 08026, Barcelona, Spain. agargamez@gmail.com.
authors: Andrés
authors: A
authors: García-Gámez
authors: Hospital Clinic, Villarroel Street, 170, 08036, Barcelona, Spain.|Hospital de la Santa Creu y Sant Pau, Sant Quintí Street, 89, 08026, Barcelona, Spain.
authors: Patricia
authors: P
authors: Bermúdez Bencerrey
authors: Hospital de la Santa Creu y Sant Pau, Sant Quintí Street, 89, 08026, Barcelona, Spain.
authors: Sonia
authors: S
authors: Brio-Sanagustin
authors: Hospital Clinic, Villarroel Street, 170, 08036, Barcelona, Spain.|Hospital de la Santa Creu y Sant Pau, Sant Quintí Street, 89, 08026, Barcelona, Spain.
authors: Rubén
authors: R
authors: Guerrero Vara
authors: Hospital de la Santa Creu y Sant Pau, Sant Quintí Street, 89, 08026, Barcelona, Spain.
authors: Luisa
authors: L
authors: Sisinni
authors: Great Ormond Street Hospital for Children, London, UK.
authors: Sam
authors: S
authors: Stuart
authors: Great Ormond Street Hospital for Children, London, UK.
authors: Derek
authors: D
authors: Roebuck
authors: Hospital Clinic, Villarroel Street, 170, 08036, Barcelona, Spain.|Hospital de la Santa Creu y Sant Pau, Sant Quintí Street, 89, 08026, Barcelona, Spain.
authors: Fernando
authors: F
authors: Gómez Muñoz
mesh_terms: D000293:Adolescent; D000328:Adult; D001158:Arteries; D002648:Child; D002675:Child, Preschool; D003556:Cystitis / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006417:Hematuria / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D001743:Urinary Bladder / Q000098:blood supply*
keywords: Haematopoietic stem cell transplantation; Haemorrhagic cystitis; Supraselective vesical artery embolization