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The short- and long-term effectiveness of transcatheter arterial embolization in patients with intractable hematuria.
Korkmaz, M; Sanal, B; Aras, B; Bozkaya, H; Çinar, C; Güneyli, S; Gök, M; Adam, G; Düzgün, F; Oran, I.
Afiliación
  • Korkmaz M; Department of Radiology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey. Electronic address: drmehmetkorkmaz@gmail.com.
  • Sanal B; Department of Radiology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey.
  • Aras B; Department of Urology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey.
  • Bozkaya H; Department of Radiology, Faculty of Medicine, Ege University, Izmir, Turkey.
  • Çinar C; Department of Radiology, Faculty of Medicine, Ege University, Izmir, Turkey.
  • Güneyli S; Department of Radiology, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey.
  • Gök M; Department of Radiology, Faculty of Medicine, Kafkas University, Kars, Turkey.
  • Adam G; Department of Radiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey.
  • Düzgün F; Department of Radiology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.
  • Oran I; Department of Radiology, Faculty of Medicine, Ege University, Izmir, Turkey.
Diagn Interv Imaging ; 97(2): 197-201, 2016 Feb.
Article en En | MEDLINE | ID: mdl-26489590
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 short- and 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 18.1months (range, 3-105months). CONCLUSION: TAE is a feasible, effective, and safe technique in both the short- and long-term for the treatment of IBH.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Vejiga Urinaria / Cateterismo / Embolización Terapéutica / Hematuria / Hemorragia Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Diagn Interv Imaging Año: 2016 Tipo del documento: Article Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Vejiga Urinaria / Cateterismo / Embolización Terapéutica / Hematuria / Hemorragia Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Diagn Interv Imaging Año: 2016 Tipo del documento: Article Pais de publicación: Francia