Therapeutic transcatheter arterial embolization in the management of intractable haemorrhage from pelvic urological malignancies: preliminary experience and long-term follow-up

The purpose of this study was to evaluate the efficacy and long-term complications of internal iliac artery embolization as a palliative measure in the control of intractable hemorrhage from advanced bladder malignancy. From January 1998 through December 2005, seven patients underwent transcatheter arterial embolization (TAE) of anterior division of internal iliac artery bilaterally for intractable bladder hemorrhage. After embolization, patients were followed for the efficacy of the procedure in controlling hematuria and complications. TAE was successful in immediate control of severe hemorrhage in all seven patients after a mean period of 4 days. At a mean (range) follow-up of 10 (6–12) months, the hemorrhage was permanently controlled in four (57%) patients. Three patients developed hematuria and required emergency admissions; two had mild hematuria and were managed conservatively, and the remaining one required a second attempt of embolization after 2 months from the first one. During the whole period of follow-up, there were no significant complications related to embolization. Internal iliac artery embolization is an effective and minimally invasive option when managing advanced bladder malignancies presenting with intractable bleeding. The long-term follow-up showed control of bleeding in the majority of such patients with no serious complications.

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Renal angiomyolipoma: selective arterial embolization--effectiveness and changes in angiomyogenic components in long-term follow-up.

Radiology ◽

10.1148/radiology.204.1.9205224 ◽

1997 ◽

Vol 204 (1) ◽

pp. 65-70 ◽

Cited By ~ 79

Author(s):

Y M Han ◽

J K Kim ◽

B S Roh ◽

H Y Song ◽

J M Lee ◽

...

Keyword(s):

Arterial Embolization ◽

Renal Angiomyolipoma ◽

Selective Arterial Embolization ◽

Long Term Follow Up

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Long-term follow-up of patients with giant cell tumor of the sacrum treated with selective arterial embolization

Cancer ◽

10.1002/cncr.10803 ◽

2002 ◽

Vol 95 (6) ◽

pp. 1317-1325 ◽

Cited By ~ 105

Author(s):

Patrick P. Lin ◽

Volkan B. Guzel ◽

Marcio F. Moura ◽

Sidney Wallace ◽

Robert S. Benjamin ◽

...

Keyword(s):

Giant Cell Tumor ◽

Giant Cell ◽

Arterial Embolization ◽

Cell Tumor ◽

Selective Arterial Embolization ◽

Long Term Follow Up

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Re: Long-Term Follow-Up of the Treatment of Renal Angiomyolipomas After Selective Arterial Embolization With Alcohol

The Journal of Urology ◽

10.1016/s0022-5347(11)60105-5 ◽

2011 ◽

Vol 185 (1) ◽

pp. 99-100

Author(s):

Fray F. Marshall

Keyword(s):

Arterial Embolization ◽

Selective Arterial Embolization ◽

Long Term Follow Up

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Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

Behavioral and Brain Sciences ◽

10.1017/s0140525x1800105x ◽

2019 ◽

Vol 42 ◽

Cited By ~ 2

Author(s):

John P. A. Ioannidis

Keyword(s):

Mental Health ◽

Mental Disease ◽

Brain Disorders ◽

Social Stressors ◽

Labor Education ◽

Mental Diseases ◽

Long Term Follow Up ◽

Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

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