Comparison of Clinical Outcomes of Prostatic Artery Embolization with 50-μm Plus 100-μm Polyvinyl Alcohol (PVA) Particles versus 100-μm PVA Particles Alone: A Prospective Randomized Trial

2018 ◽  
Vol 29 (12) ◽  
pp. 1694-1702 ◽  
Author(s):  
Mao Qiang Wang ◽  
Jin Long Zhang ◽  
Hai Nan Xin ◽  
Kai Yuan ◽  
Jieyu Yan ◽  
...  
2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Francisco Cesar Carnevale ◽  
Timothy McClure ◽  
Farah Cadour ◽  
Vincent Vidal ◽  
André Moreira de Assis ◽  
...  

Abstract Background Prostatic artery embolization (PAE) is associated with patients’ quality of life improvements and limited side effects compared to surgery. However, this procedure remains technically challenging due to complex vasculature, anatomical variations and small arteries, inducing long procedure times and high radiation exposure levels both to patients and medical staff. Moreover, the risk of non-target embolization can lead to relevant complications. In this context, advanced imaging can constitute a solid ally to address these challenges and deliver good clinical outcomes at acceptable radiation levels. Main text This technical note aims to share the consolidated experience of four institutions detailing their optimized workflow using advanced image guidance, discussing variants, and sharing their best practices to reach a consensus standardized imaging workflow for PAE procedure, as well as pre and post-operative imaging. Conclusions This technical note puts forth a consensus optimized imaging workflow and best practices, with the hope of helping drive adoption of the procedure, deliver good clinical outcomes, and minimize radiation dose levels and contrast media injections while making PAE procedures shorter and safer.


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