Embolization of prostatic arteries to stop bleeding in prostate cancer

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Abstract

Prostatic bleeding is life-threatening, and its most common cause is locally advanced prostate cancer. In several patients, hemostatic therapy is ineffective. Surgery is not feasible in most patients owing to the high surgical risk. In such cases, prostatic artery embolization may be the method of choice to stop the bleeding. This procedure is minimally invasive; thus, it can be performed in patients with contraindications to more extensive operations. Despite limited experience with embolization of prostatic arteries, according to the literature, it is effective in 90% of treated patients. This article provides a review of the literature and clinical observations of the successful use of prostatic artery embolization to stop bleeding in patients with locally advanced prostate cancer.

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About the authors

Sergei B. Petrov

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: petrov-uro@yandex.ru
ORCID iD: 0000-0003-3460-3427
Scopus Author ID: 7201794299

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Saint Petersburg

Yulia A. Ponomareva

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: uaponomareva@mail.ru
ORCID iD: 0000-0003-3492-4220

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Sofya Yu. Glazneva

Academician I.P. Pavlov First Saint Petersburg State Medical University

Author for correspondence.
Email: cezar81@mail.ru

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Dmitrii V. Ovcharenko

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: dovcharenko@icloud.com
SPIN-code: 3574-6524

MD, Cand. Sci. (Medicine)

 

Russian Federation, Saint Petersburg

Kirill A. Smirnov

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: kirsmirnov1990@gmail.com

MD

Russian Federation, Saint Petersburg

Tatiana V. Ulitko

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: ulitko-ta@yandex.ru
ORCID iD: 0000-0002-3521-8048
SPIN-code: 1194-2697

MD

Russian Federation, Saint Petersburg

Adel S. Al-Shukri

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: ad330@mail.ru
ORCID iD: 0000-0001-6543-8589
SPIN-code: 5024-2184
Scopus Author ID: 28367540300

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Saint Petersburg

References

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Supplementary files

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2. Fig. 1. Selective catheterization of prostatic artery branches

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3. Fig. 2. Injection of embolization material into the prostatic artery

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4. Fig. 3. Loss of blood flow in the small branches of the prostatic artery

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5. Fig. 4. Stopping blood flow in the prostatic artery

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