Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Sep 28, 2024; 16(9): 380-388
Published online Sep 28, 2024. doi: 10.4329/wjr.v16.i9.380
Intentionally unilateral prostatic artery embolization: Patient selection, technique and potential benefits
Hippocrates Moschouris, Konstantinos Stamatiou
Hippocrates Moschouris, Department of Radiology, General Hospital “Tzanio”, Piraeus 18536, Greece
Konstantinos Stamatiou, Department of Urology, General Hospital “Tzanio”, Piraeus 18536, Greece
Author contributions: Moschouris H wrote the paper, performed the prostatic artery embolization procedures and imaging studies and collected and analyzed the imaging data; Stamatiou K collected and analyzed the clinical data and was responsible for patient follow up.
Institutional review board statement: The study was reviewed and approved by the General Hospital “Tzanio” Institutional Review Board (Approval No. 15/9-3-2024).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Dataset available from the corresponding author at hipmosch@gmail.com. Participants gave informed consent for data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hippocrates Moschouris, MD, MSc, PhD, Chairman, Doctor, Department of Radiology, General Hospital “Tzanio”, Zanni and Afentouli 1 Street, Piraeus 18536, Greece. hipmosch@gmail.com
Received: April 16, 2024
Revised: August 8, 2024
Accepted: August 22, 2024
Published online: September 28, 2024
Processing time: 163 Days and 14.5 Hours
Core Tip

Core Tip: In this retrospective study, intentionally unilateral prostatic artery embolization (IU-PAE) was performed in 13 patients with opacification of more than half of the contralateral prostatic lobe after angiography of the ipsilateral prostatic artery or with markedly asymmetric prostatic enlargement. Compared to bilateral PAE, IU-PAE was associated with significantly lower radiation exposure and a shorter procedure, but with no significant difference in clinical efficacy. Contrast-enhanced ultrasonography was applied during IU-PAE and revealed only limited prostatic infarction in the 2 clinical failures of IU-PAE, in contrast to the rest of the patients.