Publication:
Super-Selective Embolization of Vesical Arteries with Micro-Catheter Technique in the Treatment of Intractable Hemorrhage due to Bladder Cancer

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dc.contributor.authorBALTACIOĞLU, FEYYAZ
dc.contributor.authorsSahin, Bahadir; Sulukaya, Muhammed; Tinay, Ilker; Tanidir, Yiloren; Baltacioglu, Feyyaz; Turkeri, Levent
dc.date.accessioned2022-03-14T08:13:44Z
dc.date.available2022-03-14T08:13:44Z
dc.date.issued2016-03-30
dc.description.abstractObjective: We aimed to share our experience about the super-selective embolization of the vesical artery performed with micro-catheter technique which was used as a palliative approach to control intractable hematuria in patients with bladder cancer. Materials and Methods: Super-selective embolization of the vesical artery with micro-catheter technique was performed in 12 bladder cancer patients whose hematuria could not be controlled with other palliative methods in our clinic. Hemoglobin levels, blood transfusion amounts, complications and urethral catheter removal duration before and after embolization were evaluated. Results: The average age of the patients was 73.3 (65-85, range) years. For the embolization process, n-butyl-2cyaboacrylate (glue) was used as the primary method in 3 patients and polyvinylalcohol (PVA) particle was used in the remaining 9 patients. In two of the patients whose hematuria could not be controlled after PVA embolization glue embolization was performed as the secondary procedure within one week. Super-selective embolization of the vesical artery with micro-catheter technique was performed in all of our cases. In 4 cases, embolization of the vesical artery was performed only to the side of the tumor, which was determined with cystoscopy. Bilateral embolization was performed to the remaining 8 cases. The average hemoglobin value before and after the embolization procedure was 7.9 g/dL and 9.2 g/dL, respectively. The average blood transfusion amounts before and after the procedure were 4 (2-15) and 2.3 (1-4) units erythrocyte/whole blood, respectively. The average urethral catheter duration after the procedure was 7 (2-16) days in 10 patients, who were treated one single embolization session. Urethral catheters were removed once the hematuria dissolved completely. There were no major complications or mortality related to the treatment after the embolization procedure. Conclusion: Super-selective embolization of the vesical artery performed with micro-catheter technique is a safe and effective alternative in patients with intractable hematuria due to bladder cancer whose hematuria could not be controlled with other palliative methods.
dc.identifier.doi10.4274/uob.448
dc.identifier.issn2147-2270
dc.identifier.urihttps://hdl.handle.net/11424/241136
dc.identifier.wosWOS:000407103300002
dc.language.isotur
dc.publisherGALENOS YAYINCILIK
dc.relation.ispartofUROONKOLOJI BULTENI-BULLETIN OF UROONCOLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHematuria
dc.subjectbladder cancer
dc.subjectembolization of vesical artery
dc.subjectSUPERSELECTIVE EMBOLIZATION
dc.subjectMANAGEMENT
dc.subjectHEMATURIA
dc.titleSuper-Selective Embolization of Vesical Arteries with Micro-Catheter Technique in the Treatment of Intractable Hemorrhage due to Bladder Cancer
dc.typearticle
dspace.entity.typePublication
local.avesis.idb238e0cc-2b63-40ab-a98d-607351124d18
local.import.packageSS16
local.indexed.atWOS
local.indexed.atTRDIZIN
local.journal.numberofpages3
oaire.citation.endPage3
oaire.citation.issue1
oaire.citation.startPage1
oaire.citation.titleUROONKOLOJI BULTENI-BULLETIN OF UROONCOLOGY
oaire.citation.volume15
relation.isAuthorOfPublication14b6381a-4f6e-4ff9-92f6-842a481bc163
relation.isAuthorOfPublication.latestForDiscovery14b6381a-4f6e-4ff9-92f6-842a481bc163

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