title: Percutaneous Direct Puncture Embolization with N-butyl-cyanoacrylate for High-flow Priapism.
abstract: There are many treatment options in high-flow priapism. Those mentioned most often are watchful waiting, Doppler-guided compression, endovascular highly selective embolization, and surgery. We present a case of high-flow priapism in a 57-year-old man treated by percutaneous direct puncture embolization of a post-traumatic left cavernosal arteriovenous fistula using N-butyl-cyanoacrylate. Erectile function was preserved during a 12-month follow-up. No patients with percutaneous direct puncture embolization for high-flow priapism have been reported previously. Percutaneous direct puncture embolization is a potentially useful and safe method for management of high-flow priapism.
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. tokue@s2.dion.ne.jp.|Department of Radiology, Isesaki Municipal Hospital, Isesaki, Gunma, Japan. tokue@s2.dion.ne.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tokue
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.|Department of Radiology, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Shibuya
authors.affiliation: Department of Radiology, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ueno
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
authors.forename: Azusa
authors.initials: A
authors.lastname: Tokue
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Tsushima
mesh_terms: D000792:Angiography; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000008:administration & dosage*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000000981:diagnostic imaging; D011317:Priapism / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011677:Punctures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000150:complications
chemical_list: D004659:Enbucrilate
keywords: Direct puncture; Embolization; High-flow priapism; N-butyl-cyanoacrylate