Bleeding after prostatectomy: endovascular management.

Autor:	Ierardi AM; Diagnostic and Interventional Radiology Department, San Paolo Hospital, University of Milan, Milan, Italy., Jannone ML; Diagnostic and Interventional Radiology Department, San Paolo Hospital, University of Milan, Milan, Italy., Brambillasca PM; Diagnostic and Interventional Radiology Department, San Paolo Hospital, University of Milan, Milan, Italy., Zannoni S; Diagnostic and Interventional Radiology Department, San Paolo Hospital, University of Milan, Milan, Italy., Damiani G; Department of Radiology, San Carlo Hospital, Milan, Italy., Rossi UG; Department of Diagnostic Imaging, Interventional Radiology Unit, E.O. Galliera Hospital, Genova, Italy., Granata AM; Department of Urology, ASST Fatebene Fratelli-Sacco, Milan, Italy., Petrillo M; Diagnostic and Interventional Radiology Department, San Paolo Hospital, University of Milan, Milan, Italy., Carrafiello G; Diagnostic and Interventional Radiology Department, San Paolo Hospital, University of Milan, Milan, Italy.
Jazyk:	angličtina
Zdroj:	Gland surgery [Gland Surg] 2019 Apr; Vol. 8 (2), pp. 108-114.
DOI:	10.21037/gs.2019.02.03
Abstrakt:	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. Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.
Databáze:	MEDLINE
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