RESUMO
Purpose: To determine whether route of access, transradial or transfemoral, leads to any discernible differences in patient radiation or contrast medium exposure as well as procedure time in elective prostate artery embolization (PAE).Methods: This retrospective study included sixty patients in total: n = 30 in the radial PAE group, and n = 30 in the femoral PAE group. All procedures were performed in a single angiography suite between May 2018 and January 2021, using a standard kit for each type of vascular access, the same microcatheter/wire combination and embolic agent to super-selectively target and embolize one or both prostate arteries. Outcome measures included dose area product (DAP, µGym2), air kerma (mGy), fluoroscopy time (mins), procedure time (mins) and volume of contrast medium used (mL). Adverse events were also recorded.Results: The radial and femoral groups were matched for age (73.2 ± 7.5 vs 71.3 ± 10.14, P = .41) and body mass index (27.53 ± 5.08 vs 26.41 ± 3.93, P = .38).No significant difference in dose area product, air kerma, fluoroscopy time, procedure time or volume of contrast medium used was found between radial and femoral PAE. No adverse events occurred in either group.Conclusion: Radial PAE is safe and comparable to femoral PAE with respect to patient radiation exposure, contrast medium usage, and procedure duration. Radial access is a useful skill to add to the armament of the interventional radiologist in elective PAE.
Assuntos
Artéria Femoral , Próstata , Masculino , Humanos , Estudos Retrospectivos , Próstata/irrigação sanguínea , Doses de Radiação , Resultado do Tratamento , Artéria Femoral/diagnóstico por imagem , Artéria Radial/diagnóstico por imagem , Meios de Contraste/efeitos adversosAssuntos
Falso Aneurisma , Lesões das Artérias Carótidas , Dissecação da Artéria Carótida Interna , Procedimentos Endovasculares , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/etiologia , Falso Aneurisma/cirurgia , Artéria Carótida Interna/diagnóstico por imagem , Artéria Carótida Interna/cirurgia , Dissecação da Artéria Carótida Interna/complicações , Dissecação da Artéria Carótida Interna/terapia , Humanos , Stents , Resultado do TratamentoRESUMO
We present a case of a 30-year-old woman with a gangrenous right colon secondary to caecal volvulus, diagnosed postabdominoplasty. To our knowledge, this is the first case recorded in the literature. An emergency right hemicolectomy was performed and the patient had an unremarkable recovery. Given the severity of this incident, the diagnosis of caecal volvulus postabdominoplasty requires a high index of suspicion to allow prompt diagnosis and treatment.