title: Bilateral Arterial Embolization of the Prostate Through a Single Prostatic Artery: A Case Series.
abstract: Peri-prostatic shunts are frequent during PAE, carrying the risk of non-target embolization of penis/corpus cavernosum or rectum but also the potential advantage to irrigate the contralateral lobe. Sometimes, bilateral embolization is impossible, carrying the risk of limited clinical success. The possibility to reach contralateral prostatic territory from the ipsilateral prostatic artery (PA) and embolize it via peri/intra-prostatic anastomoses could be of interest in this situation. We describe a series of three consecutive patients (among 89 consecutive patients treated by PAE for symptomatic BPH) who underwent successful embolization of both prostatic lobes through catheterization of a PA on only one side. All patients had clinical success after a mean follow-up of 3.3 months. Dosimetry of these three procedures indicates that there may be radiation dose savings.
authors.affiliation: Faculté de Médecine, Université Paris Descartes - Sorbonne - Paris - Cité, Paris, France. gregamouyal@hotmail.com.|Interventional Radiology Department, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, 20, rue Leblanc, 75015, Paris, France. gregamouyal@hotmail.com.
authors.forename: Gregory
authors.initials: G
authors.lastname: Amouyal
authors.affiliation: Faculté de Médecine, Université Paris Descartes - Sorbonne - Paris - Cité, Paris, France.|Interventional Radiology Department, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, 20, rue Leblanc, 75015, Paris, France.|INSERM U970, Paris, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Pellerin
authors.affiliation: Faculté de Médecine, Université Paris Descartes - Sorbonne - Paris - Cité, Paris, France.|Interventional Radiology Department, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, 20, rue Leblanc, 75015, Paris, France.
authors.forename: Costantino
authors.initials: C
authors.lastname: Del Giudice
authors.affiliation: Interventional Radiology Department, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, 20, rue Leblanc, 75015, Paris, France.|INSERM U970, Paris, France.
authors.forename: Carole
authors.initials: C
authors.lastname: Déan
authors.affiliation: Faculté de Médecine, Université Paris Descartes - Sorbonne - Paris - Cité, Paris, France.|Urology Department, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, Paris, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Thiounn
authors.affiliation: Faculté de Médecine, Université Paris Descartes - Sorbonne - Paris - Cité, Paris, France.|Interventional Radiology Department, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, 20, rue Leblanc, 75015, Paris, France.|INSERM U970, Paris, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Sapoval
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction; D001158:Arteries; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000098:blood supply / Q000000981:diagnostic imaging; D011470:Prostatic Hyperplasia / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome
keywords: Embolization; Endovascular procedure; Interventional; Prostate; Prostatic hyperplasia; Radiology; Therapeutic