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      Superselective arterial embolization of pseudoaneurysm and arteriovenous fistula caused by transurethral resection of the prostate.

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          Abstract

          Pelvic vascular lesions such as pseudoaneurysms and arteriovenous fistulas associated with the internal pudendal artery are uncommon. The most common cause is traumas including those of iatrogenic origin. Surgical treatment is complicated due to location of the lesions and endovascular approach is usually the first choice among the treatment options.

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          Pseudoaneurysms and the role of minimally invasive techniques in their management.

          Nael Saad, Wael Saad, Mark Davies … (2005)
          Pseudoaneurysms are common vascular abnormalities that represent a disruption in arterial wall continuity. Some complications associated with pseudoaneurysms develop unpredictably and carry high morbidity and mortality rates. The advent of new radiologic techniques with a greater sensitivity for asymptomatic disease has allowed more frequent diagnosis of pseudoaneurysms. Conventional angiography remains the standard of reference for diagnosis but is an invasive procedure, and noninvasive diagnostic modalities (eg, ultrasonography [US], computed tomographic angiography, magnetic resonance angiography) should be included in the initial work-up if possible. A complete work-up will help in determining the cause, location, morphologic features, rupture risk, and clinical setting of the pseudoaneurysm; identifying any patient comorbidities; and evaluating surrounding structures and relevant vascular anatomy, information that is essential for treatment planning. Therapeutic options have evolved in recent years from the traditional surgical option toward a less invasive approach and include radiologic procedures such as US-guided compression, US-guided percutaneous thrombin injection, and endovascular management (embolization, stent-graft placement). The use of noninvasive treatment has led to a marked decrease in the morbidity and mortality rates for pseudoaneurysms. Copyright RSNA, 2005.
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            Spontaneous thrombosis of hepatic posttraumatic pseudoaneurysms: sonographic and computed tomographic features.

            Diana Gaitini, Monica Epelman, Michalle Soudack (2002)
            Hepatic artery pseudoaneurysms are rare complications of blunt abdominal trauma. In the past, surgical ligation was the recommended treatment; today, it is embolization. We report a case of a child involved in a motor vehicle collision who had liver lacerations with subsequent development of hepatic artery pseudoaneurysms. In this case, embolization was not performed, and the pseudoaneurysms regressed spontaneously. Spontaneous regression has been reported previously, but its true prevalence is unknown. Our report includes full sonographic and partial computed tomographic (CT) documentation of the lesions during the course of their regression. To the best of our knowledge, this is the first report in the English literature with sonographic depiction of spontaneous thrombosis of a hepatic posttraumatic pseudoaneurysm in a child.
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              Minimally invasive management of postoperative bleeding after radical prostatectomy: transarterial embolization.

              Chang Jeong, Yong Park, Ja Ku … (2010)
              Severe postoperative bleeding after radical prostatectomy is a rare, but serious, complication. Massive postoperative bleeding causing hemodynamic instability necessitates open surgical exploration and can be associated with considerable morbidity. We report our experience with minimally invasive management of postprostatectomy hemorrhage via transarterial embolization (TAE).
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Pol J Radiol
                Title: Polish journal of radiology
                Publisher: International Scientific Information, Inc.
                ISSN: 1733-134X
                ISSN (Print): 1733-134X
                Publication date (Electronic): 2014
                Volume: 79
                Affiliations
                [1 ] Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
                Article
                Publisher Item ID: 890900
                DOI: 10.12659/PJR.890900
                PMC ID: 4199465
                PubMed ID: 25324913
                SO-VID: 2adee6e4-6a22-4152-bb34-a18770429ef0
                History

                Keywords: Embolization,Hematuria,Intraoperative Complications,Therapeutic,Transurethral Resection of Prostate
                Data availability:
                Keywords: Embolization, Hematuria, Intraoperative Complications, Therapeutic, Transurethral Resection of Prostate

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