Literature DB >> 31183320

Bleeding after prostatectomy: endovascular management.

Anna Maria Ierardi1, Maria Laura Jannone1, Pietro Maria Brambillasca1, Stefania Zannoni1, Giovanni Damiani2, Umberto G Rossi3, Antonio Maria Granata4, Mario Petrillo1, Gianpaolo Carrafiello1.   

Abstract

BACKGROUND: To evaluate role of interventional radiology (IR) in post-surgical haemorrhagic complications of prostatectomy.
METHODS: A retrospective study was performed. From April 2015 to January 2018, 10 patients referred to IR Department for haemorrhagic complications post radical prostatectomy (RP). All patients (mean age: 68.5 years; range, 58-85 years) were successfully treated with superselective trans-arterial embolization. We evaluated technical and clinical success and post procedural complications.
RESULTS: Technical and clinical success was 100% (10/10) and no major complications were identified. No complications related to the endovascular procedures occurred. No recurrences during follow-up (8-20 months) were observed. Among minor complications, only 20% (2/10) developed mild post embolization syndrome.
CONCLUSIONS: The endovascular management of significant haemorrhage after prostatectomy is safe and long-term effective, with no major ischaemic events associated to embolization.

Entities:  

Keywords:  Transarterial embolization; angiography; interventional radiology (IR); prostate bleeding; surgical complications

Year:  2019        PMID: 31183320      PMCID: PMC6534764          DOI: 10.21037/gs.2019.02.03

Source DB:  PubMed          Journal:  Gland Surg        ISSN: 2227-684X


  19 in total

1.  Society of Interventional Radiology clinical practice guidelines.

Authors:  David Sacks; Tricia E McClenny; John F Cardella; Curtis A Lewis
Journal:  J Vasc Interv Radiol       Date:  2003-09       Impact factor: 3.464

2.  Reoperation versus observation in men with major bleeding after radical retropubic prostatectomy.

Authors:  Jeremy D Kaufman; Herbert Lepor
Journal:  Urology       Date:  2005-09       Impact factor: 2.649

3.  Complications of robotic assisted radical prostatectomy.

Authors:  Boris Fischer; Nadja Engel; Jean-Luc Fehr; Hubert John
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4.  Urinomas caused by ureteral injuries: CT appearance.

Authors:  G Gayer; R Zissin; S Apter; A Garniek; J Ramon; E Kots; M Hertz
Journal:  Abdom Imaging       Date:  2002 Jan-Feb

5.  Perioperative complications of laparoscopic and robotic assisted laparoscopic radical prostatectomy.

Authors:  Jim C Hu; Rebecca A Nelson; Timothy G Wilson; Mark H Kawachi; S Adam Ramin; Clayton Lau; Laura E Crocitto
Journal:  J Urol       Date:  2006-02       Impact factor: 7.450

Review 6.  Standards for surgical complication reporting in urologic oncology: time for a change.

Authors:  Sherri Machele Donat
Journal:  Urology       Date:  2007-02       Impact factor: 2.649

7.  Kidney and urinary tract imaging: triple-bolus multidetector CT urography as a one-stop shop--protocol design, opacification, and image quality analysis.

Authors:  Maka Kekelidze; Roy S Dwarkasing; Marcel L Dijkshoorn; Karolina Sikorska; Paul C M S Verhagen; Gabriel P Krestin
Journal:  Radiology       Date:  2010-02-16       Impact factor: 11.105

Review 8.  Complications of prostate cancer treatment: spectrum of imaging findings.

Authors:  Corrie M Yablon; Marc P Banner; Parvati Ramchandani; Eric S Rovner
Journal:  Radiographics       Date:  2004-10       Impact factor: 5.333

9.  Comprehensive standardized report of complications of retropubic and laparoscopic radical prostatectomy.

Authors:  Farhang Rabbani; Luis Herran Yunis; Rodrigo Pinochet; Lucas Nogueira; Kinjal C Vora; James A Eastham; Bertrand Guillonneau; Vincent Laudone; Peter T Scardino; Karim Touijer
Journal:  Eur Urol       Date:  2009-11-25       Impact factor: 20.096

10.  Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot-assisted techniques.

Authors:  Amy E Krambeck; David S DiMarco; Laureano J Rangel; Eric J Bergstralh; Robert P Myers; Michael L Blute; Matthew T Gettman
Journal:  BJU Int       Date:  2008-09-03       Impact factor: 5.588

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  1 in total

1.  Software-assisted US/MRI fusion-targeted biopsy for prostate cancer.

Authors:  Salvatore Alessio Angileri; Letizia Di Meglio; Mario Petrillo; Antonio Arrichiello; Marco Pandolfi; Giovanni Maria Rodà; Giuseppe Granata; Anna Maria Ierardi; Daniela Donat; Aldo Paolucci; Gianpaolo Carrafiello
Journal:  Acta Biomed       Date:  2020-09-23
  1 in total

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