Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization

Paul Steffen; Rabea Wentz; Christian Thaler; Christian R Habermann; Martin Zeile

doi:10.1007/s00270-022-03061-x

Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization

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Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization. / Steffen, Paul; Wentz, Rabea; Thaler, Christian; Habermann, Christian R; Zeile, Martin.

In: CARDIOVASC INTER RAD, Vol. 45, No. 7, 07.2022, p. 1019-1024.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Steffen, P, Wentz, R, Thaler, C, Habermann, CR & Zeile, M 2022, 'Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization', CARDIOVASC INTER RAD, vol. 45, no. 7, pp. 1019-1024. https://doi.org/10.1007/s00270-022-03061-x

APA

Steffen, P., Wentz, R., Thaler, C., Habermann, C. R., & Zeile, M. (2022). Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization. CARDIOVASC INTER RAD, 45(7), 1019-1024. https://doi.org/10.1007/s00270-022-03061-x

Vancouver

Steffen P, Wentz R, Thaler C, Habermann CR, Zeile M. Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization. CARDIOVASC INTER RAD. 2022 Jul;45(7):1019-1024. https://doi.org/10.1007/s00270-022-03061-x

Bibtex

@article{b8ee71fa68e44eb888f0e55324e5cabb,

title = "Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization",

abstract = "PURPOSE: To explore whether a computed tomography angiography (CTA) of the pelvis prior to prostatic artery embolization (PAE) is a beneficial preprocedural planning tool regarding the technical success.MATERIALS AND METHODS: Eighty patients with lower urinary tract symptoms treated with PAE were analyzed retrospectively. Forty of these patients received a CTA of the pelvis prior to the procedure (Group A) and were compared to 40 patients who were treated with PAE without prior CT imaging (Group B). Technical success rate, rate of complications, fluoroscopy time (FT), and mean dose area product (DAP) were assessed and compared. All operators performed at least 50 PAE prior to this study. When needed, cone-beam CT (CBCT) was available during intervention.RESULTS: Mean age was 68.43 ± 8.30 years in Group A and 70.42 ± 7.11 years in Group B (p = 0.252). Mean body mass index was 26.78 ± 3.73 in Group A and 26.85 ± 3.5 in Group B (p = 0.319). Overall technical success was 96.3%. Bilateral PAE was achieved in 60 patients (75.0%) while unilateral PAE was performed in 17 patients (21.3%). Technical failure (no embolization) occurred in two patients of Group A and one patient of Group B. No statistical significance was seen between groups for technical success rate (p = 1.0). Mean DAP was 10,164 × cm2 ± 3944 cGy × cm2 in Group A and 10,039 × cm2 ± 3761 cGy × cm2 in Group B (p = 0.885). Mean FT was 49.27 ± 22.97 min in Group A and 44.32 ± 17.82 min in Group B (p = 0.285). No intervention-related complications during PAE were reported.CONCLUSION: With experienced interventionalists and CBCT available during PAE, preprocedural CTA has no additional benefit for technical outcome.",

keywords = "Aged, Arteries/diagnostic imaging, Computed Tomography Angiography, Embolization, Therapeutic/methods, Humans, Lower Urinary Tract Symptoms/diagnostic imaging, Male, Middle Aged, Pelvis, Prostate/blood supply, Prostatic Hyperplasia/complications, Retrospective Studies, Tomography, X-Ray Computed/adverse effects, Treatment Outcome",

author = "Paul Steffen and Rabea Wentz and Christian Thaler and Habermann, {Christian R} and Martin Zeile",

note = "{\textcopyright} 2022. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).",

year = "2022",

month = jul,

doi = "10.1007/s00270-022-03061-x",

language = "English",

volume = "45",

pages = "1019--1024",

journal = "CARDIOVASC INTER RAD",

issn = "0174-1551",

publisher = "Springer",

number = "7",

}

RIS

TY - JOUR

T1 - Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization

AU - Steffen, Paul

AU - Wentz, Rabea

AU - Thaler, Christian

AU - Habermann, Christian R

AU - Zeile, Martin

PY - 2022/7

Y1 - 2022/7

N2 - PURPOSE: To explore whether a computed tomography angiography (CTA) of the pelvis prior to prostatic artery embolization (PAE) is a beneficial preprocedural planning tool regarding the technical success.MATERIALS AND METHODS: Eighty patients with lower urinary tract symptoms treated with PAE were analyzed retrospectively. Forty of these patients received a CTA of the pelvis prior to the procedure (Group A) and were compared to 40 patients who were treated with PAE without prior CT imaging (Group B). Technical success rate, rate of complications, fluoroscopy time (FT), and mean dose area product (DAP) were assessed and compared. All operators performed at least 50 PAE prior to this study. When needed, cone-beam CT (CBCT) was available during intervention.RESULTS: Mean age was 68.43 ± 8.30 years in Group A and 70.42 ± 7.11 years in Group B (p = 0.252). Mean body mass index was 26.78 ± 3.73 in Group A and 26.85 ± 3.5 in Group B (p = 0.319). Overall technical success was 96.3%. Bilateral PAE was achieved in 60 patients (75.0%) while unilateral PAE was performed in 17 patients (21.3%). Technical failure (no embolization) occurred in two patients of Group A and one patient of Group B. No statistical significance was seen between groups for technical success rate (p = 1.0). Mean DAP was 10,164 × cm2 ± 3944 cGy × cm2 in Group A and 10,039 × cm2 ± 3761 cGy × cm2 in Group B (p = 0.885). Mean FT was 49.27 ± 22.97 min in Group A and 44.32 ± 17.82 min in Group B (p = 0.285). No intervention-related complications during PAE were reported.CONCLUSION: With experienced interventionalists and CBCT available during PAE, preprocedural CTA has no additional benefit for technical outcome.

AB - PURPOSE: To explore whether a computed tomography angiography (CTA) of the pelvis prior to prostatic artery embolization (PAE) is a beneficial preprocedural planning tool regarding the technical success.MATERIALS AND METHODS: Eighty patients with lower urinary tract symptoms treated with PAE were analyzed retrospectively. Forty of these patients received a CTA of the pelvis prior to the procedure (Group A) and were compared to 40 patients who were treated with PAE without prior CT imaging (Group B). Technical success rate, rate of complications, fluoroscopy time (FT), and mean dose area product (DAP) were assessed and compared. All operators performed at least 50 PAE prior to this study. When needed, cone-beam CT (CBCT) was available during intervention.RESULTS: Mean age was 68.43 ± 8.30 years in Group A and 70.42 ± 7.11 years in Group B (p = 0.252). Mean body mass index was 26.78 ± 3.73 in Group A and 26.85 ± 3.5 in Group B (p = 0.319). Overall technical success was 96.3%. Bilateral PAE was achieved in 60 patients (75.0%) while unilateral PAE was performed in 17 patients (21.3%). Technical failure (no embolization) occurred in two patients of Group A and one patient of Group B. No statistical significance was seen between groups for technical success rate (p = 1.0). Mean DAP was 10,164 × cm2 ± 3944 cGy × cm2 in Group A and 10,039 × cm2 ± 3761 cGy × cm2 in Group B (p = 0.885). Mean FT was 49.27 ± 22.97 min in Group A and 44.32 ± 17.82 min in Group B (p = 0.285). No intervention-related complications during PAE were reported.CONCLUSION: With experienced interventionalists and CBCT available during PAE, preprocedural CTA has no additional benefit for technical outcome.

KW - Aged

KW - Arteries/diagnostic imaging

KW - Computed Tomography Angiography

KW - Embolization, Therapeutic/methods

KW - Humans

KW - Lower Urinary Tract Symptoms/diagnostic imaging

KW - Male

KW - Middle Aged

KW - Pelvis

KW - Prostate/blood supply

KW - Prostatic Hyperplasia/complications

KW - Retrospective Studies

KW - Tomography, X-Ray Computed/adverse effects

KW - Treatment Outcome

U2 - 10.1007/s00270-022-03061-x

DO - 10.1007/s00270-022-03061-x

M3 - SCORING: Journal article

C2 - 35233661

VL - 45

SP - 1019

EP - 1024

JO - CARDIOVASC INTER RAD

JF - CARDIOVASC INTER RAD

SN - 0174-1551

IS - 7

ER -