Patient Background
- Age 75
- Medical history: DM, Inguinal hernia repair.
- IPSS - 23
- QOL - 4
- PV - 102 cc
- PVR - 145 cc
- PSA 0.44
- Medication: Duodart, omnic, Nexium, telfast, xigduo, Rybalsus, gabapentin, atozet, aspirin,normalol
Pre-Embolization
LT Internal iliac artery
PA type 1
PA is very small with no vascularization to median lobe.
Pre-Embolization
RT PA Type 1+5
PA dominant with collaterals
To LT hemiprostate & penis
Embolization
PA embolization, LT side from RT
Embolization
PA embolization.
Crossing from RT to LT.
Distal branch Coiling 1st.
Embolization
PA embolization of the accessory branch from obturator artery
Post-Embolization
- Microcatheter: progreat 2.4F
- Particles: Embosphere 300-500
- Coil: Nester 2-2
- Angioseal 6F