EURORAD ESR

Case 14295

Refractory haematuria of prostatic origin (RHPO) treated by prostate artery embolization (PAE).

Author(s)
F. Barakat 1
P. Reimer 1
M. K. Virarkar 2

1. Institut für Diagnostische und Interventionelle Radiologie., Städtisches Klinikum Karlsruhe, Germany.
2. Department of Radiology, Sir H N Reliance Foundation Hosptial and Research Centre, Mumbai, India.
 
Patient
male, 72 year(s)
 
 
  • Figure 1
    Selective angiography of left internal iliac artery

    Selective angiography of left internal iliac artery (A) with anterior (C) and posterior (A) divisions. The anterior division shows obturator (D), rectal (E) and internal pudendal (F) artery.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Chemoembolisation; Special Focus: Acute;
     
     
  • Figure 2
    Selective angiogram of the left internal iliac artery.

    Selective angiogram of the left internal iliac artery in early arterial phase showing mild left hemi-prostatic blush.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Chemoembolisation; Special Focus: Acute;
     
     
  • Figure 3
    Selective angiography of left internal iliac artery

    Selective angiogram of the left internal iliac artery in the late arterial phase shows the left hemi-prostatic blush.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT-Angiography; Procedure: Embolisation; Special Focus: Acute;
     
     
  • Figure 4
    Superselective angiogram of the left prostatic artery before embolisation.

    Superselective angiogram of the left prostatic artery before embolisation showing the left hemi-prostatic blush.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Angioplasty; Special Focus: Acute;
     
     
  • Figure 5
    Contrast enhanced dynamic CT in coronal plane.

    Contrast enhanced dynamic CT in coronal plane is performed, which shows the left hemi-prostatic blush and confirms the safe placement of the microcatheter tip close to the prostate.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Chemoembolisation; Special Focus: Acute;
     
     
  • Figure 6
    Superselective angiogram of the left prostatic artery after embolisation.

    Superselective angiogram of the left prostatic artery after embolisation procedure shows decrease in hemi-prostatic blush (arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Chemoembolisation; Special Focus: Acute;
     
     
Selective angiography of left internal iliac artery (A) with anterior (C) and posterior (A) divisions. The anterior division shows obturator (D), rectal (E) and internal pudendal (F) artery.
 
Selective angiogram of the left internal iliac artery in early arterial phase showing mild left hemi-prostatic blush.
 
Selective angiogram of the left internal iliac artery in the late arterial phase shows the left hemi-prostatic blush.
 
Superselective angiogram of the left prostatic artery before embolisation showing the left hemi-prostatic blush.
 
Contrast enhanced dynamic CT in coronal plane is performed, which shows the left hemi-prostatic blush and confirms the safe placement of the microcatheter tip close to the prostate.
 
Superselective angiogram of the left prostatic artery after embolisation procedure shows decrease in hemi-prostatic blush (arrow).
 
 
 
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