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.

Bleeding after prostatectomy: Endovascular management / A.M. Ierardi, M.L. Jannone, P.M. Brambillasca, S. Zannoni, G. Damiani, U.G. Rossi, A.M. Granata, M. Petrillo, G. Carrafiello. - In: GLAND SURGERY. - ISSN 2227-684X. - 8:2(2019 Apr), pp. 108-114. [10.21037/gs.2019.02.03]

Bleeding after prostatectomy: Endovascular management

P.M. Brambillasca;S. Zannoni;G. Damiani;G. Carrafiello
Ultimo
2019-04

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.
Angiography; Interventional radiology (IR); Prostate bleeding; Surgical complications; Transarterial embolization
Settore MED/36 - Diagnostica per Immagini e Radioterapia
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/664607
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