M Korkmaz1, B Şanal2, B Aras3, H Bozkaya4, C Çınar4, S Güneyli5, M Gök6, G Adam7, F Düzgün8, I Oran4. 1. Department of Radiology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey. Electronic address: drmehmetkorkmaz@gmail.com. 2. Department of Radiology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey. 3. Department of Urology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey. 4. Department of Radiology, Faculty of Medicine, Ege University, İzmir, Turkey. 5. Department of Radiology, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey. 6. Department of Radiology, Faculty of Medicine, Kafkas University, Kars, Turkey. 7. Department of Radiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey. 8. Department of Radiology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.
Abstract
PURPOSE: Selective transarterial embolization (TAE) of the internal iliac artery is a well-known alternative technique to control intractable bladder hemorrhage (IBH). We explored the short- and long-term effectiveness of, and clinical outcomes after, TAE in patients with IBH. MATERIALS AND METHODS: In this retrospective study, we reviewed the hospital records of 18 IBH patients non-responsive to conservative medications who underwent TAE between January 2003 and May 2014. The early- and long-term effectiveness of TAE was investigated in the context of hematuria control, complications, mortality, requirement for blood transfusions, and hematocrit level. RESULTS: Sixteen of the 18 patients underwent endovascular treatment; the technical success rate was 88%. TAE allowed complete remission in 16 patients (100% clinical success). On follow-up, mean hematocrit (P=0.003) and hemoglobin (P=0.005) levels significantly improved. Thirteen of the 16 patients (81%) required no further emergency admission after TAE during a mean follow-up period of 18.1months (range, 3-105months). CONCLUSION: TAE is a feasible, effective, and safe technique in both the short- and long-term for the treatment of IBH.
PURPOSE: Selective transarterial embolization (TAE) of the internal iliac artery is a well-known alternative technique to control intractable bladder hemorrhage (IBH). We explored the short- and long-term effectiveness of, and clinical outcomes after, TAE in patients with IBH. MATERIALS AND METHODS: In this retrospective study, we reviewed the hospital records of 18 IBHpatients non-responsive to conservative medications who underwent TAE between January 2003 and May 2014. The early- and long-term effectiveness of TAE was investigated in the context of hematuria control, complications, mortality, requirement for blood transfusions, and hematocrit level. RESULTS: Sixteen of the 18 patients underwent endovascular treatment; the technical success rate was 88%. TAE allowed complete remission in 16 patients (100% clinical success). On follow-up, mean hematocrit (P=0.003) and hemoglobin (P=0.005) levels significantly improved. Thirteen of the 16 patients (81%) required no further emergency admission after TAE during a mean follow-up period of 18.1months (range, 3-105months). CONCLUSION:TAE is a feasible, effective, and safe technique in both the short- and long-term for the treatment of IBH.