Preview

Russian Sklifosovsky Journal "Emergency Medical Care"

Advanced search

EMBOLIZATION FOR HEMORRHAGE IN PATIENTS WITH BLADDER CANCER

https://doi.org/10.23934/2223-9022-2017-6-4-358-362

Abstract

Bladder or prostate bleeding is a frequent complication in patients with an inoperable tumor. The treatment of such patients remains a complex problem. Patients with massive hematuria are usually of elderly age and it is impossible to perform cystectomy in them. Embolization of bladder and prostate arteries is indicated for such patients. The aim of the article is to describe the role of embolization in the treatment of bleeding from the bladder and prostate where conservative therapy fails, and to analyze its effectiveness and risks. The advantage of intervention is minimal invasiveness and low blood loss.

About the Authors

S. A. Prozorov
OAO Meditsina; N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Dr. Med. Sci., Leading Researcher of the Department for X-ray Surgery Diagnostics and Treatment,

Moscow



S. A. Tarabarin
OAO Meditsina
Russian Federation
Moscow


N. V. Kondratova
OAO Meditsina
Russian Federation
Moscow


K. G. Mkrtchyan
OAO Meditsina
Russian Federation
Moscow


References

1. Loffroy R., Pottecher P., Cherblanc V., et al. Current role of transcatheter arterial embolization for bladder and prostate hemorrhagе. Diagn Interv Imaging. 2014; 95(11): 1027–1034. DOI: 10.1016/j.diii.2014.03.008.

2. Bilhim T., Pisco J.M., Rio Tinto H., et al. Prostatic arterial supply: anatomic and imaging findings relevant for selective arterial embolization. J Vasc Interv Radiol. 2012; 23(11): 1403–1415. DOI: 10.1016/j.jvir.2012.07.028.

3. Bilhim T., Tinto H.R., Fernandes L., Martins Pisco J. Radiological anatomy of prostatic arteries. Tech Vasc Interv Radiol. 2012; 15(4): 276–285. DOI: 10.1053/j.tvir.2012.09.006.

4. Bilhim T., Pereira J.A., Tinto H.R., et al. Middle rectal artery: myth or reality? Retrospective study with CT angiography and digital subtraction angiography. Surg Radiol Anat. 2013; 35(6): 517–522. DOI: 10.1007/s00276-012-1068-y.

5. Halpenny D., Salati U., Torregiani W.C., Browne R. Selective arterial embolization for control of haematuria secondary to advanced or recurrent transitional cell carcinoma of the bladder. JBR–BTR. 2013; 96(5): 282–285. PMID: 24479287.

6. Granov A.M., Karelin M.I., Tarazov P.G., et al. X-Ray endovascular surgery in oncourology. Vestnik rentgenologii i radiologii. 1996; (1): 35–37. (In Russian).

7. Suvorova Yu.V., Tarazov P.G. Arterial embolization in the treatment of bleeding uterine and bladder neoplasms. Vestnik rentgenologii i radiologii. 1999; (1): 30–34. (In Russian).

8. Pisco J.M., Martins J.M., Correia M.G. Internal iliac artery: embolization to control hemorrhage from pelvic neoplasms. Radiology. 1989; 172(2): 337–339. PMID: 2748811.

9. Liguori G., Amodeo A., Mucelli F.P., et al. Intractable haematuria: long-term results after selective embolization of the internal iliac arteries. BJU Int. 2010; 106(4): 500–503. DOI: 10.1111/j.1464-410X.2009.09192.x.

10. Anisimov V.N., Karelin M.I., Tarazov P.G. The use of endovascular interventions in the treatment of bladder cancer. Vestnik rentgenologii i radiologii. 1994; (1): 43–45. (In Russian).

11. El-Assmy A., Mohsen T. Internal iliac artery embolization for the control of severe bladder hemorrhage secondary to carcinoma: long-term follow-up. Sci World J. 2007; 17(7): 1567–1574. DOI: 10.1100/tsw.2007.229.

12. Nabi G., Sheikh N., Greene D., Marsh R. Therapeutic transcatheter arterial embolization in the management of intractable haemorrhage from pelvic urological malignancies: preliminary experience and long-term follow-up. BJU Int. 2003; 92 (3): 245–247. PMID: 12887476.

13. Palma Ceppi C., Reyes Osorio D., Palma Ceppi R., Palavecino P. Experience in superselective embolization of bladder arteries in the treatment of intractable hematuria. Actas Urol Esp. 2008; 32(5): 542–545. PMID: 18605006.

14. Textor H.J., Wilhelm K., Strunk H., et al. Locoregional chemoperfusion with mitoxantrone for palliative therapy in bleeding bladder cancer compared with embolization. Rofo. 2000; 172(5): 462–466. DOI: 10.1055/s-2000-678.


Review

For citations:


Prozorov S.A., Tarabarin S.A., Kondratova N.V., Mkrtchyan K.G. EMBOLIZATION FOR HEMORRHAGE IN PATIENTS WITH BLADDER CANCER. Russian Sklifosovsky Journal "Emergency Medical Care". 2017;6(4):358-362. (In Russ.) https://doi.org/10.23934/2223-9022-2017-6-4-358-362

Views: 1821


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)