Prostate artery embolization in a patient with left ventricular assist device

Jay Vasani; Sanghun Kim; Kieran Hynes; Charles Pound; Issam Kably

doi:10.1016/j.eucr.2021.101588

Prostate artery embolization in a patient with left ventricular assist device

Urol Case Rep. 2021 Jan 29:36:101588. doi: 10.1016/j.eucr.2021.101588. eCollection 2021 May.

Authors

Jay Vasani¹, Sanghun Kim², Kieran Hynes³, Charles Pound³, Issam Kably⁴

Affiliations

¹ Department of Diagnostic Radiology, University of Mississippi Medical Center, 2500 N State St. Jackson, Mississippi, 39216, USA.
² Department of Interventional Radiology, University of Mississippi Medical Center, 2500 N State St. Jackson, Mississippi, 39216, USA.
³ Department of Surgery Division of Urology, University of Mississippi Medical Center, 2500 N State St. Jackson, Mississippi, 39216, USA.
⁴ Department of Interventional Radiology, University of Miami/ Jackson Memorial Hospital, 1400 NW 12th Ave, Miami, FL, 33136, USA.

Abstract

Increased number of left ventricular assist device placement in patients with end stage heart failure as well as years of survival increases the likelihood of need for non-cardiac procedures. Prostate artery embolization is a safe, minimally invasive procedure performed in the setting of lower urinary tract symptoms or refractory gross hematuria of prostatic origin. These patients require a multidisciplinary approach to weigh the benefits and risks of the procedure and provide optimal periprocedural care. We report a case of technically successful prostate artery embolization performed in a patient with HeartWare HVAD presenting with refractory hematuria of prostatic origin (RHPO).

Keywords: Benign prostatic hyperplasia; Interventional radiology; Left ventricular assist device; Lower urinary tract symptom; Prostate artery embolization.

Publication types

Case Reports