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KMID : 1103720120660050421
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Journal of the Korean Society of Radiology
2012 Volume.66 No. 5 p.421 ~ p.425
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Superselective Embolization of the Inferior Vesical Artery for the Treatment of Intractable Hematuria from Pelvic Malignancy: Case Report
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Lee Hyun-Jung
Choi Sun-Young
Jeon Eui-Yong
Han Kum-Hyun
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Abstract
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Intractable hematuria in from pelvic malignancy can be managed with conservative treatment in most patients. However, when treatment fails, surgical intervention may be required. Unfortunately, in most cases, the general condition of most patients is unfavorable for major surgery, with many patients having an inoperable status. We present two cases where intractable hematuria was successfully controlled by bilateral embolization of the inferior vesical artery with polyvinyl alcohol particles. Hematuria did not recur during the subsequent period and no complication was observed. Thus, bilateral embolization of the inferior vesical artery should be considered as an alternative method for the treatment of massive intractable hematuria caused by pelvic malignancy.
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KEYWORD
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Hematuria , Therapeutic Embolization , Urinary Bladder Neoplasm , Prostatic Neoplasm
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