Contrast-Enhanced Ultrasonography During Genicular Artery Embolization

Author(s):  
Anirudh Mirakhur ◽  
Darshan R. Bakshi
2020 ◽  
Vol 43 (10) ◽  
pp. 1498-1504
Author(s):  
Maxime Barat ◽  
Tom Boeken ◽  
Nadia Moussa ◽  
Alessandro Di Gaeta ◽  
Carole Déan ◽  
...  

2018 ◽  
Vol 20 (2) ◽  
pp. 134 ◽  
Author(s):  
Hippocrates Moschouris ◽  
Konstantinos Stamatiou ◽  
Mariana Kalokairinou Motogna ◽  
Spyros Vrakas ◽  
Michail Kiltenis ◽  
...  

Aims: To assess the feasibility, findings and potential value of early post-interventional, contrast-enhanced ultrasonographic (CEUS) study of prostate artery embolization (PAE).Material and methods: Fourteen patients treated with PAE for symptomatic benign prostatic hyperplasia were prospectively included in the study. Sonographic evaluation of the prostate included: 1) baseline transabdominal and transrectal CEUS (ta-CEUS and tr-CEUS, respectively) 1-3 days prior to PAE; 2) early post PAE CEUS, with ta-CEUS immediately post PAE and tr-CEUS 3 days post PAE; and 3) follow-up with ta-CEUS and tr-CEUS 3 months post PAE. A brief unenhanced US study preceded each CEUS. Post-therapeutic changes in size, echogenicity and enhancement of the prostate were recorded and were correlated with clinical outcomes.Results: PAE resulted in clinical success in 11/14 patients (78.5%). All sonographic studies were technically adequate, with the exception of ta-CEUS immediately post PAE in 2/14 (14.2%) patients. CEUS studies immediately post PAE and 3 days post PAE showed non-enhancing, welldefined infarctions of the prostate in 10/14 patients (71.4%). There was a strong correlation between ta-CEUS immediately post PAE and tr-CEUS 3 days post PAE regarding the measurements of prostatic infarctions (r =0.98, p< 0.01). The presence of infarctions on early post PAE CEUS was associated with clinical success (p=0.01) and their extent correlated with the degree of prostate shrinkage on 3-month follow-up (r=0.84, p<0.05). The 3 cases of failed PAE showed no infarctions and no prostate shrinkage.Conclusions: Early post-interventional CEUS of PAE is feasible and may have clinical and prognostic value.


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