A Review of Adverse Events Related to Prostatic Artery Embolization for Treatment of Bladder Outlet Obstruction Due to BPH

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMOREIRA, Airton Mota
dc.contributor.authorASSIS, Andre Moreira de
dc.contributor.authorCARNEVALE, Francisco Cesar
dc.contributor.authorANTUNES, Alberto Azoubel
dc.contributor.authorSROUGI, Miguel
dc.contributor.authorCERRI, Giovanni Guido
dc.date.accessioned2017-10-24T13:15:30Z
dc.date.available2017-10-24T13:15:30Z
dc.date.issued2017
dc.description.abstractMinimally invasive procedures have gained great importance among the treatments for benign prostate hyperplasia (BPH) due to their low morbidity. Prostate artery embolization has emerged as a safe and effective alternative for patients with large volume BPH, not suited for surgery. Low adverse events rates have been reported following prostate artery embolization and may include dysuria, urinary infection, hematuria, hematospermia, acute urinary retention and rectal bleeding. Although most complaints are reported as side effects, complications can also be superimposed. The prostate gland is the most common source of complaints following PAE, where the inflammatory process can create a large variety of localized symptoms. Periprostatic organs and structures such as bladder, rectum, penis, seminal vesicle, pelvis, bones and skin may be damaged by nontarget embolization, especially due to the misidentification of the normal vascular anatomy and variants or due to inadvertent embolic reflux. Radiodermatitis may also happen in case of small vessel size, atherosclerosis, the learning curve and long procedure or fluoroscopy times. Regarding safety, it is pivotal to understand the pathophysiology of adverse events following PAE and their standardized reporting. The aim of this article is to discuss adverse events, their management and to review the current literature.
dc.description.indexMEDLINE
dc.identifier.citationCARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, v.40, n.10, p.1490-1500, 2017
dc.identifier.doi10.1007/s00270-017-1765-3
dc.identifier.eissn1432-086X
dc.identifier.issn0174-1551
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/21766
dc.language.isoeng
dc.publisherSPRINGER
dc.relation.ispartofCardiovascular and Interventional Radiology
dc.rightsrestrictedAccess
dc.rights.holderCopyright SPRINGER
dc.subjectProstatic hyperplasia
dc.subjectEmbolization
dc.subjectInflammation
dc.subjectAdverse effect
dc.subjectComplication
dc.subjectClassification
dc.subject.otherurinary-tract symptoms
dc.subject.othersickle-cell-disease
dc.subject.othermidterm follow-up
dc.subject.otherof-the-literature
dc.subject.othertransurethral resection
dc.subject.othercontrast-media
dc.subject.othersingle-center
dc.subject.otherinterventional radiology
dc.subject.otherantibiotic-prophylaxis
dc.subject.othersurgical complications
dc.subject.wosCardiac & Cardiovascular Systems
dc.subject.wosRadiology, Nuclear Medicine & Medical Imaging
dc.titleA Review of Adverse Events Related to Prostatic Artery Embolization for Treatment of Bladder Outlet Obstruction Due to BPH
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus71
hcfmusp.contributor.author-fmusphcAIRTON MOTA MOREIRA
hcfmusp.contributor.author-fmusphcANDRE MOREIRA DE ASSIS
hcfmusp.contributor.author-fmusphcFRANCISCO CESAR CARNEVALE
hcfmusp.contributor.author-fmusphcALBERTO AZOUBEL ANTUNES
hcfmusp.contributor.author-fmusphcMIGUEL SROUGI
hcfmusp.contributor.author-fmusphcGIOVANNI GUIDO CERRI
hcfmusp.description.beginpage1490
hcfmusp.description.endpage1500
hcfmusp.description.issue10
hcfmusp.description.volume40
hcfmusp.origemWOS
hcfmusp.origem.pubmed28795212
hcfmusp.origem.scopus2-s2.0-85027199609
hcfmusp.origem.wosWOS:000409109400002
hcfmusp.publisher.cityNEW YORK
hcfmusp.publisher.countryUSA
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