Journal of Vascular and Interventional Radiology
Volume 20, Issue 7 , Pages 965-970, July 2009

Embolotherapy for Lower Urinary Tract Hemorrhage

  • Vikash Prasad, MD, FRCPC

      Affiliations

    • Department of Medical Imaging, Moncton Hospital, 135 MacBeath Avenue, Moncton, NB, E1C Z8 Canada
    • Corresponding Author InformationAddress correspondence to V.P.
    • ,
  • Barry A. Sacks, MD

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
    • Department of Radiolog, Metrowest Medical Center, Natick, Massachusetts
    • ,
  • Stanley Kraus, MD

      Affiliations

    • Department of Urology, Metrowest Medical Center, Natick, Massachusetts
    • ,
  • Melvin E. Clouse, MD

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts

Received 16 March 2008; received in revised form 7 April 2009; accepted 14 April 2009. published online 05 June 2009.

The patient characteristics, techniques used, and outcomes of 11 patients with lower urinary tract hemorrhage treated with embolotherapy are described. The authors focus on bilateral superselective embolization of the arterial supply to the bladder and techniques to embolize multiple small vessels supplying the bladder when the vascular anatomy is complicated and superselective catheterization is not possible. The immediate success rate was 100%, with three later recurrences. One procedure was complicated by asymptomatic occlusion of the posterior division of the internal iliac artery. Embolotherapy can provide at least short-term success adequate to improve quality of life for palliation with few complications.

Abbreviations: PVA, polyvinyl alcohol, TCC, transitional cell carcinoma

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 None of the authors have identified a conflict of interest.

PII: S1051-0443(09)00382-0

doi:10.1016/j.jvir.2009.04.048

Journal of Vascular and Interventional Radiology
Volume 20, Issue 7 , Pages 965-970, July 2009

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