More Evidence for Repeat PAE and Different Patterns of Vascular Reperfusion of the Prostate
Iñigo Insausti 1 , Antonio Martinez 2
Despite the safety and effectiveness of the prostatic artery embolisation (PAE), the percentage of patients with clinical failure following the procedure ranges between 3 and 30% according to different studies . At present, the reason for this is unclear and it is thought that prostatic revascularisation may play a role.
Recently, Kearns et al. have published in this same journal an article under the title “Patterns of Reperfusion and Clinical Findings in Repeat Prostate Artery Embolisation for Recurrent Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia” .
This is a single-centre, nonrandomised, retrospective study looking into the reperfusion pattern and the clinical results at 3 months in 12 patients undergoing a repeat PAE (rPAE). The patients included in the study had a good clinical response after PAE, with an IPSS (International Prostate Symptom Score) decrease greater than 25% followed by recurrence after a latency period. Patients not achieving clinical success after PAE were excluded from the study...