Veena Radhakrishnan Iyer MD, Presenter: Nothing to Disclose

Prashant Shrestha MD, Abstract Co-Author: Nothing to Disclose

Gregory Snyder MD, Abstract Co-Author: Nothing to Disclose

Andrew Misselt MD, Abstract Co-Author: Nothing to Disclose

Jafar Golzarian MD, Abstract Co-Author: Nothing to Disclose

Prostate artery embolization (PAE) is being actively studied for BPH and is used for refractory hematuria of prostatic origin. The most challenging part of PAE is identifying the prostatic artery. On review of this exhibit the reader will understand the anatomical supply of the prostate gland and origin and important anastomoses of the prostatic arteries, as relevant for embolization. The value of cone-beam CT to increase confidence of correct catheter placement is also demonstrated.

We performed a retrospective review of PAE performed in 15 men (30 hemipelves) at our hospital. We describe: 1. Branching pattern of the internal iliac artery 2. Origin and number of prostate arteries in each hemipelvis. Several classic variants are described. 3. Important and dangerous anastomoses of prostatic arteries with bladder, rectum, pudendal and median sacral branches. The value of CBCT is highlighted.

http://abstract.rsna.org/uploads/2014/14018548/14018548_2ojf.pdf

Iyer, V, Shrestha, P, Snyder, G, Misselt, A, Golzarian, J, Prostate Artery Embolization: Clarifying a Challenging Anatomy.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018548.html