The short-and long-term effectiveness of transcatheter arterial embolization in patients with intractable hematuria
Mehmet Korkmaz, Bekir Sanal, Bekir Aras, Halil Bozkaya, Celal Cinar, Ismail Oran, Serkan Guneyli, Mustafa Gok, G. Adam, F. Duzgun
article (Uluslararası, Hakemli) | Yazar(lar): Mehmet Korkmaz, Bekir Sanal, Bekir Aras, Halil Bozkaya, Celal Cinar, Ismail Oran, Serkan Guneyli, Mustafa Gok, G. Adam, F. Duzgun | Yıl: 2016 | Dergi/Kurum: DIAGNOSTIC AND INTERVENTIONAL IMAGING | İndeks: WOS.SCI | DOI: 10.1016/j.diii.2015.06.020 | Anahtar Kelimeler: Transa
Purpose: Selective transarterial embolization (TAE) of the internal iliac artery is a well-known alternative technique to control intractable bladder hemorrhage (IBH). We explored the shortand long-term effectiveness of, and clinical outcomes after, TAE in patients with IBH.
Materials and methods: In this retrospective study, we reviewed the hospital records of 18 IBH patients non-responsive to conservative medications who underwent TAE between January 2003 and May 2014. The early-and long-term effectiveness of TAE was investigated in the context of hematuria control, complications, mortality, requirement for blood transfusions, and hematocrit level.
Results: Sixteen of the 18 patients underwent endovascular treatment; the technical success rate was 88%. TAE allowed complete remission in 16 patients (100% clinical success). On follow-up, mean hematocrit (P = 0.003) and hemoglobin (P = 0.005) levels significantly improved. Thirteen of the 16 patients (81%) required no further emergency admission after TAE during a mean follow-up period of 18.1 months (range, 3-105 months).
Conclusion: TAE is a feasible, effective, and safe technique in both the short-and long-term for the treatment of IBH. (C) 2015 Editions francaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.