Download PDF
CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2021; 5(01): 48-50
DOI: 10.1055/s-0041-1723060
Short Communication

Prostatic Artery Embolization through the Profunda Femoris Artery

Abin Sajan 
1   Department of Surgery, NYU Winthrop Hospital, Mineola, New York, United States
,
Ari Isaacson
2   Department of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, United States
,
Sandeep Bagla
3   Department of Interventional Radiology, Vascular Interventional Partners - NOVA, Falls Church, Virginia, United States
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

An 88-year-old catheter-dependent patient with peripheral vascular disease and benign prostatic hyperplasia was referred for prostatic artery embolization (PAE). Selective angiography of the left internal iliac artery (IIA) revealed a 2.5-cm aneurysm and a single artery comprising the anterior division of the IIA (inferior gluteal artery). No prostatic artery (PA) was identified on the left. Additional angiography of the left external iliac artery (EIA), right IIA, and right EIA did not demonstrate prostatic perfusion. The right profunda femoris artery was then selected given previously reported atherosclerotic collaterals, which revealed an ascending branch of the medial circumflex femoral artery coursing through the upper thigh into the pelvis and reconstituting the right anterior division of the IIA. A 2.4-French microcatheter (Terumo) and 0.018-inch wire (Transcend, Boston Scientific) were used to enter the pelvic vasculature, right PA was identified, and a 2-mm coil was used to perform embolization of a potential nontarget anterior division branch. Embolization of the right PA was then performed with 250-µm particulate and Gelfoam slurry. Two-week follow-up revealed spontaneous voiding and catheter independence.

Keywords

prostate artery - embolization - benign prostatic hyperplasia


Publication History

Article published online:
25 January 2021

© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Carnevale FC, Soares GR, de Assis AM, Moreira AM, Harward SH, Cerri GG. Anatomical variants in prostate artery embolization: a pictorial essay. Cardiovasc Intervent Radiol 2017; 40 (09) 1321-1337
    CrossrefPubMedGoogle Scholar
  • 2 Bagla S, Smirniotopolous JB, Vadlamudi V. Crossing a prostatic artery chronic total occlusion to perform prostatic arterial embolization. J Vasc Interv Radiol 2016; 27 (02) 295-297
    CrossrefPubMedGoogle Scholar
  • 3 Hashemi H, Massimiano P, Mukherjee D, Aryavand B. Internal iliac artery revascularization for limb salvage purposes. J Vasc Surg 2007; 45 (03) 607-609
    CrossrefPubMedGoogle Scholar