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Prostate Artery Embolization - Adverse Events and Peri-Procedural Management
As Prostate Artery Embolization (PAE) for treatment of lower urinary tract symptoms (LUTS) attributed to benign prostatic hyperplasia (BPH) becomes more commonly performed, operator knowledge of the adverse events is essential to inform patient selection, patient preparation, and post-procedural management. The aim of this article is to the discuss the incidence, presentation, and management of the PAE adverse effects. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 7, 2020 Category: Radiology Authors: N Parikh, V Acharya, S Bhatia Source Type: research

Prostatic Artery Embolization: Variant Origins and Collaterals
Prostate artery embolization (PAE) is a minimally invasive treatment option for benign prostatic hyperplasia (BPH) associated lower urinary tract symptoms (LUTS) (1-7). Operators require a detailed understanding of the prostate arterial anatomy (origins and collaterals) to ensure technical and clinical success with minimal complications (8). Because of the high variability in pelvic vascular anatomy, several classification systems have been developed to better identify and characterize prostate arteries. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 5, 2020 Category: Radiology Authors: Andrew J. Richardson, Vedant Acharya, Issam Kably, Shivank Bhatia Source Type: research

Biologics
Platelet-rich plasma is an orthobiologic agent defined as a platelet concentration of at least 1,000,000 platelets/ μl in 5 ml of plasma and contains a 3 to 8 fold increase in platelet concentrations from baseline1. While intially used in oral maxillofacial and cardiac surgery throughout the 1980s and 1990s2,3, its application has been increasingly utilized in the field of orthopedics to treat a variety of joint , tendon, and ligamentous injuries. Following a blood draw of autologous blood, centrifugation is performed to separate the blood components into different layers: red blood cells precipitate to the bottom, the mi...
Source: Techniques in Vascular and Interventional Radiology - October 5, 2020 Category: Radiology Authors: Robert L Bowers, Wesley D Troyer, R Amadeus Mason, Kenneth R Mautner Source Type: research

Introduction
Lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH) occur in 50% of men over the age of 50 years, and prevalence increases with age. Patients traditionally have been managed with a combination of medical and surgical treatments. Transurethral resection of the prostate is the gold standard for surgical treatment of BPH. Within the past decade, prostate artery embolization (PAE) has emerged as a minimally invasive alternative for the treatment of BPH, urinary retention, and hematuria of prostatic origin. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 5, 2020 Category: Radiology Authors: Shivank Bhatia Source Type: research

Prostatic Artery Embolization in Refractory Hematuria of Prostatic Origin
Hematuria of prostatic origin has multiple etiologies including benign prostatic hyperplasia (BPH), iatrogenic urological trauma, prostate cancer, and radiation therapy. Hematuria secondary to benign prostatic hyperplasia can occur because of the increased vascularity of the primary gland, itself, or because of the vascular re-growth following a transurethral resection of the prostate. Prostatic hematuria usually resolves with conservative measures; however, refractory hematuria of prostatic origin may require hospitalization with treatment with blood transfusions, repeated indwelling urinary catheterization, and continuou...
Source: Techniques in Vascular and Interventional Radiology - October 5, 2020 Category: Radiology Authors: Issam Kably, Vedant Acharya, Andrew J. Richardson, Shivank Bhatia Source Type: research

Prostatic Artery Embolization: Equipment, Procedure Steps, and Overcoming Technical Challenges
In the last decade, prostatic artery embolization (PAE) established itself as a safe and effective treatment option for lower urinary tract symptoms (LUTS) attributed to benign prostate hyperplasia (BPH), with reproducible results across multiple centers and endorsement by important international societies. However, PAE is also known to be a technically demanding procedure. Accompanying the prevalence of benign prostate hyperplasia, the procedure is usually performed in older patients, in whom atherosclerosis and comorbidities are common features. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 5, 2020 Category: Radiology Authors: Francisco Cesar Carnevale, Andr é Moreira de Assis, Airton Mota Moreira Source Type: research

Prostate Artery Embolization: State of the Evidence and Societal Guidelines
Medically refractory benign prostatic hyperplasia induced lower urinary tract symptoms is an extremely prevalent issue in older men. The current gold standard therapy transurethral resection of the prostate does produce urologic improvements but is also associated with higher than desired morbidity. This has led to the need to develop new minimally invasive means to treat this disease; prostate artery embolization (PAE) has emerged as one minimally invasive treatment option for these patients. The body of evidence which supports the use of PAE has grown quickly and substantially over the last decade. (Source: Techniques in...
Source: Techniques in Vascular and Interventional Radiology - October 5, 2020 Category: Radiology Authors: Shamar Young, Jafar Golzarian Source Type: research

Treating Vertebral Compression Fractures: Establishing the Appropriate Diagnosis, Preoperative Considerations, Treatment Techniques, Postoperative Follow-Up and General Guidelines for the Treatment of Patients With Symptomatic Vertebral Compression Fractures
Vertebral compression fractures (VCFs) result from either trauma or a pathologic process that weakens the bone by conditions such as osteoporosis or tumor. The incidence of VCFs has been rising over the last few decades in accordance with the aging population. These fractures can result in severe pain, physical limitation and disability, as well as increased morbidity and mortality. Patients with VCFs are optimally treated by accurate and early diagnosis and treatment. An effective method to treat these fractures is percutaneous vertebral augmentation, which is a set of minimally invasive procedures that stabilizes osseous...
Source: Techniques in Vascular and Interventional Radiology - October 5, 2020 Category: Radiology Authors: Alvaro E. Bravo, Jordan E. Brasuell, Andrew W. Favre, Brooks M. Koenig, Ali A. Khan, Douglas P. Beall Source Type: research

Current Debates Regarding Optimal Patient Evaluation And Procedural Technique For Prostatic Artery Embolization
There are active debates surrounding patient evaluation and procedural techniques of prostate artery embolization (PAE). This review evaluates the available evidence on the value of urodynamics, the effect of prostate gland size, the benefits of pre- and intra-procedural cross- sectional imaging, the utility of a balloon-occlusion microcatheter, the differences among embolic particle sizes and types, and the merits of radial versus femoral arterial access. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Taylor Powell, Shivank Bhatia, Raj Ayyagari Source Type: research

Benign Prostatic Hyperplasia: A Brief Overview of Pathogenesis, Diagnosis, and Current State of Therapy
As prostatic artery embolization (PAE) is assuming an increasingly important role in the management of benign prostatic hyperplasia (BPH), it is important for the practicing interventional radiologist to have a deep understanding of all aspects of the disease process and the available treatment options. This paper provides a comprehensive overview of the pathophysiology, diagnosis and management options for BPH with an emphasis on the surgical and medical treatments. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: John Manov, Prasoon P. Mohan, Bruce Kava, Shivank Bhatia Source Type: research

Benign prostatic hyperplasia: clinical manifestations, imaging, and patient selection for prostate artery embolization
Prostate artery embolization (PAE) has been shown to be safe and effective at treating lower urinary tract symptoms (LUTS), urinary retention, and hematuria caused by benign prostatic hyperplasia (BPH). To distinguish from other causes of these symptoms, a multidisciplinary evaluation by a urologist and interventional radiologist should include a complete history to screen for any non-prostate causes of LUTS. The International Prostate Symptom Score (IPSS) is a useful objective measure to quantify the patient's urinary complaints. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Taylor Powell, Daniel Kellner, Raj Ayyagari Source Type: research

Prostate Arterial Anatomy: A Primer for Interventional Radiologists
Identification of the prostatic arteries (PAs) is one of the most challenging aspects of prostate artery embolization (PAE) for treatment of benign prostatic hyperplasia (BPH) associated lower urinary tract symptoms (LUTS). Operators require a detailed understanding of the prostate arterial anatomy to ensure technical and clinical success with minimal complications. Due to substantial variability in internal iliac artery (IIA) branch patterns and specifically the origin of the PA, we focus on 3 clinically relevant classification systems used to categorize the pelvic vasculature. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Srini Tummala, Ashli Everstine, Vedant Acharya, Shivank Bhatia Tags: TVIR Source Type: research

Prostatic Artery Embolization: Equipment, Procedure Steps and Overcoming Technical Challenges.
In the last decade, PAE established itself as a safe and effective treatment option for lower urinary tract symptoms (LUTS) attributed to benign prostate hyperplasia (BPH), with reproducible results across multiple centers and endorsement by important international societies. However, PAE is also known to be a technically demanding procedure. Accompanying the prevalence of BPH, the procedure is usually performed in older patients, in whom atherosclerosis and comorbidities are common features. Also, prostatic vascular anatomy is described to be complex and variable, and pelvic structures are deeply interconnected by anastom...
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Francisco Cesar Carnevale, Andr é Moreira de Assis, Airton Mota Moreira Source Type: research

Prostatic Artery Embolization and Sexual Function: Literature Review and Comparison to Other Urologic Interventions
Many interventions to treat men with benign prostatic hyperplasia (BPH) associated lower urinary tract symptoms (LUTS) are associated with sexual side effects or complications, such as hematospermia, erectile dysfunction, or ejaculatory dysfunction. As loss of sexual function can significantly impact quality of life, an optimal treatment for BPH associated LUTS would be one without any sexual dysfunction side effects. Prostatic artery embolization (PAE) is a minimally invasive treatment for men with BPH associated LUTS. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Thomas Wong, Miltiadis Tembelis, Vedant Acharya, Jason C. Hoffmann Source Type: research

Prostatic Artery Embolization in Refractory Hematuria of Prostatic Origin.
Hematuria of prostatic origin has multiple etiologies including benign prostatic hyperplasia (BPH), iatrogenic urological trauma, prostate cancer, and radiation therapy. Hematuria secondary to benign prostatic hyperplasia (BPH) can occur because of the increased vascularity of the primary gland, itself, or because of the vascular re-growth following a transurethral resection of the prostate. Prostatic hematuria usually resolves with conservative measures; however, refractory hematuria of prostatic origin (RHPO) may require hospitalization with treatment with blood transfusions, repeated indwelling urinary catheterization, ...
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Issam Kably, Vedant Acharya, Andrew J. Richardson, Shivank Bhatia Source Type: research