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Asian Journal of Urology, 2017, 4(2): 131-134    doi: 10.1016/j.ajur.2016.03.003
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Superselective embolisation of bilateral superior vesical arteries for management of intractable hematuria in context of metastatic bladder cancer
Ahmed Saadia, Abderrazak Bouzouitaa, Mohamed Hedi Rebaia, Mohamed Cherifa, Walid Kerkenia, Haroun Ayeda, Amine Derouichea, Hatem Rajhib, Riadh Ben Slamaa, Najla Mnifb, Mohamed Chebila
a Department of Urology, Charles Nicolle University Hospital, Tunis, Tunisia;
b Department of Radiology, Charles Nicolle University Hospital, Tunis, Tunisias
Superselective embolisation of bilateral superior vesical arteries for management of intractable hematuria in context of metastatic bladder cancer
Ahmed Saadia, Abderrazak Bouzouitaa, Mohamed Hedi Rebaia, Mohamed Cherifa, Walid Kerkenia, Haroun Ayeda, Amine Derouichea, Hatem Rajhib, Riadh Ben Slamaa, Najla Mnifb, Mohamed Chebila
a Department of Urology, Charles Nicolle University Hospital, Tunis, Tunisia;
b Department of Radiology, Charles Nicolle University Hospital, Tunis, Tunisias
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摘要 Hematuria due to locally advanced or metastatic bladder cancer is a common condition and is often a management problem. Percutaneous embolisation is a mini-invasive option to handle this situation. We report a case of a patient with a metastatic bladder cancer and who presented with an abundant hematuria and severe anemia. After failure of endoscopic resections and "flush" of radiotherapy haemostatic and refusal of cystectomy by the patient, he was treated by superselective embolisation of bilateral superior bladder arteries with excellent immediate results. The technique is safe and effective in the short term. The longterm effectiveness requires further investigation.
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Ahmed Saadi
Abderrazak Bouzouita
Mohamed Hedi Rebai
Mohamed Cherif
Walid Kerkeni
Haroun Ayed
Amine Derouiche
Hatem Rajhi
Riadh Ben Slama
Najla Mnif
Mohamed Chebil
关键词:  Urinary bladder neoplasms  Hematuria  Therapeutic embolisation    
Abstract: Hematuria due to locally advanced or metastatic bladder cancer is a common condition and is often a management problem. Percutaneous embolisation is a mini-invasive option to handle this situation. We report a case of a patient with a metastatic bladder cancer and who presented with an abundant hematuria and severe anemia. After failure of endoscopic resections and "flush" of radiotherapy haemostatic and refusal of cystectomy by the patient, he was treated by superselective embolisation of bilateral superior bladder arteries with excellent immediate results. The technique is safe and effective in the short term. The longterm effectiveness requires further investigation.
Key words:  Urinary bladder neoplasms    Hematuria    Therapeutic embolisation
收稿日期:  2015-08-14      修回日期:  2016-03-22           出版日期:  2017-04-01      发布日期:  2017-05-08      整期出版日期:  2017-04-01
引用本文:    
Ahmed Saadi, Abderrazak Bouzouita, Mohamed Hedi Rebai, Mohamed Cherif, Walid Kerkeni, Haroun Ayed, Amine Derouiche, Hatem Rajhi, Riadh Ben Slama, Najla Mnif, Mohamed Chebil. Superselective embolisation of bilateral superior vesical arteries for management of intractable hematuria in context of metastatic bladder cancer[J]. Asian Journal of Urology, 2017, 4(2): 131-134.
Ahmed Saadi, Abderrazak Bouzouita, Mohamed Hedi Rebai, Mohamed Cherif, Walid Kerkeni, Haroun Ayed, Amine Derouiche, Hatem Rajhi, Riadh Ben Slama, Najla Mnif, Mohamed Chebil. Superselective embolisation of bilateral superior vesical arteries for management of intractable hematuria in context of metastatic bladder cancer. Asian Journal of Urology, 2017, 4(2): 131-134.
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http://www.ajurology.com/CN/10.1016/j.ajur.2016.03.003  或          http://www.ajurology.com/CN/Y2017/V4/I2/131
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