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
a Department of Urology, Charles Nicolle University Hospital, Tunis, Tunisia; b Department of Radiology, Charles Nicolle University Hospital, Tunis, Tunisias
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.
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.
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.
[1] Ghahestani SM, Shakhssalim N. Palliative treatment of intractable hematuria in context of advanced bladder cancer: a systematic review. Urol J 2009;6:149-56. [2] Gallocher O, Bachaud JM. Place de la radiothérapie dans la prise en charge palliative des patients cancéreux. Med Pal 2003;2:307-19[Article in French]. [3] Hald T, Mygind T. Control of life-threatening vesical hemorrhage by unilateral hypogastric artery muscle embolization. J Urol 1974;112:60-3. [4] Rigaud J, Hetet JF, Bouchot O. Management of radiation cystitis. Prog Urol 2004;14:568-72. [5] deVries CR, Freiha FS. Hemorrhagic cystitis: a review. J Urol 1990;143:1-9. [6] Cho CL, Lai MH, So HS, Kwok KK, Chan JC, Velayudhan V. Superselective embolisation of bilateral superior vesical arteries for management of haemorrhagic cystitis. Hong Kong Med J 2008;14:485-8. [7] Kobayashi T, Kusano S, Matsubayashi T, Uchida T. Selective embolization of the vesical artery in the management of massive bladder hemorrhage. Radiology 1980;136:345-8. [8] Hayes MC, Wilson NM, Page A, Harrison GS. Selective embolization of bladder tumours. Br J Urol 1996;78:311-2. [9] Appleton DS, Sibley GN, Doyle PT. Internal iliac artery embolisation for the control of severe bladder and prostate haemorrhage. Br J Urol 1988;61:45-7. [10] Giuliani L, Carmignani G, Belgrano E, Puppo P. Gelatin foam and isobutyl-2-cyanoacrylate in the treatment of lifethreatening bladder haemorrhage by selective transcatheter embolisation of the internal iliac arteries. Br J Urol 1979;51: 125-8. [11] Traxer O, Desgrandchamps F, Sebe P, Haab F, Le Duc A, Gattegno B, et al.[Hemorrhagic cystitis: etiology and treatment]. Prog Urol 2001;11:591-601[Article in French]. [12] Prasad V, Sacks BA, Kraus S, Clouse ME. Embolotherapy for lower urinary tract hemorrhage. J Vasc Interv Radiol 2009;20: 965-70. [13] Granov AM, Anisimov VN, Grinval'd VA, Ryzhkov VK, Borisova NA.[Roentgenological-endovascular occlusion and ligation of internal iliac arteries in bleeding tumors of the bladder]. Vestn Khir Im I I Grek 1985;135:51-5[Article in Russian]. [14] De Berardinis E, Vicini P, Salvatori F, Sciarra A, Gentile V, Di Silverio F. Superselective embolization of bladder arteries in the treatment of intractable bladder haemorrhage. Int J Urol 2005;12:503-5. [15] Palandri F, Bonifazi F, Rossi C, Falcioni S, Arpinati M, Giannini MB, et al. Successful treatment of severe hemorrhagic cystitis with selective vesical artery embolization. Bone Marrow Transplant 2005;35:529-30.
Christopher Hartman, Nikhil Gupta, David Leavitt, David Hoenig, Zeph Okeke, Arthur Smith. Advances in percutaneous stone surgery[J]. Asian Journal of Urology, 2015, 2(1): 26
-32
.