Introduction of prostate artery embolization (PAE) in Sweden

Figures & data

Figure 1. Angiography of left inferior vesical artery, in Prostate Artery Embolization (PAE) treatment.

Figure 2. Cone-beam CT (CBCT) in coronal projection, showing contrast filling of prostate parenchyma and, thereby, correct catheter position prior to injection of particles in Prostate Artery Embolization (PAE) treatment.

Figure 3. Angiography after Prostate Artery Embolization (PAE) treatment, showing occlusion of the inferior vesical artery.

Table 1. Baseline data in patients (n = 37) treated with prostate artery embolization (PAE). Mean (SD) or N (%).

	n	SD or %
Age	73	8
Pre-operative
Catheter	14	38
CIC	5	13
No catheter	18	49

BPH, Benign Prostate Hyperplasia; CIC, Clean Intermittent Catheterization.

Table 2. Patients (n = 37) urinary catheter characteristics before and after treatment with prostate artery embolization (PAE).

		Post PAE
		Catheter	CIC	No Catheter
	Catheter	3	1	10
Pre-PAE	CIC	0	1	4
	No Catheter	0	0	17

PAE, Prostate Artery Embolization; CIC, Clean Intermittent Catheterization.

Table 3. Changes in IPSS and QoL in patients without urinary catheter at baseline (n = 17) treated with prostate artery embolization (PAE).

	Pre-PAE	Post-PAE	Mean change	p-value
IPSS	21.2 (7.9)	8.2 (8.6)	−13.0 (11.3)	0.004
QoL	4.6 (1.1)	2.0 (1.9)	−2.6 (2.3)	0.003

IPSS, International Prostate Symptom Score; QoL, Quality-of-Life.

Table 4. Characteristic in patients (n = 5) with clinical failure after treatment with prostate artery embolization (PAE).

	n	Comment
Bilateral failure	1	Difficult vessel anatomy
Unilateral treatment	1	50 cc prostate
Technical success	1	40 cc prostate
Technical success	1	Prostate volume shrunk from 190–65 but still need CIC
Technical success	1	50 cc Prostate

CIC, Clean Intermittent Catheterization.

Table 5. Complications in patients (n = 37) treated with prostate artery embolization (PAE).

	n (%)
PAE-syndrome	1 (2.7)
Diarrhea	1 (2.7)