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Title: Prostatic Artery Embolization (PAE) for Symptomatic Benign Prostatic Hyperplasia (BPH): Part 2, Insights into the Technical Rationale

Abstract

Rationale of prostatic artery embolization (PAE) in the treatment of symptomatic benign prostatic hyperplasia is conventionally believed to include two parts: shrinkage of the enlarged prostate gland as a result of PAE-induced ischemic infarction and potential effects to relax the increased prostatic smooth muscle tone by reducing the number and density of α{sub 1}-adrenergic receptor in the prostate stroma. This review describes new insights into the likely mechanisms behind PAE, such as ischemia-induced apoptosis, apoptosis enhanced by blockage of androgens circulation to the embolized prostate, secondary denervation following PAE, and potential effect of nitric oxide pathway immediately after embolization. Studies on therapeutic mechanisms in PAE may shed light on potentially new treatment strategies and development of novel techniques.

Authors:
; ; ;  [1]
  1. Jesús Usón Minimally Invasive Surgery Centre (Spain)
Publication Date:
OSTI Identifier:
22469591
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 39; Journal Issue: 2; Conference: BSIR 2015: Britisch Society of Interventional Radiology 2015 annual meeting, Glasgow, Scotland (United Kingdom), 4-6 Nov 2015; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANDROGENS; APOPTOSIS; ARTERIES; BPH; DENSITY; ISCHEMIA; MUSCLES; NITRIC OXIDE; PROSTATE; RECEPTORS; SHRINKAGE

Citation Formats

Sun, Fei, E-mail: feisun@ccmijesususon.com, Crisóstomo, Verónica, E-mail: crisosto@ccmijesususon.com, Báez-Díaz, Claudia, E-mail: cbaez@ccmijesususon.com, and Sánchez, Francisco M., E-mail: msanchez@ccmijesususon.com. Prostatic Artery Embolization (PAE) for Symptomatic Benign Prostatic Hyperplasia (BPH): Part 2, Insights into the Technical Rationale. United States: N. p., 2016. Web. doi:10.1007/S00270-015-1238-5.
Sun, Fei, E-mail: feisun@ccmijesususon.com, Crisóstomo, Verónica, E-mail: crisosto@ccmijesususon.com, Báez-Díaz, Claudia, E-mail: cbaez@ccmijesususon.com, & Sánchez, Francisco M., E-mail: msanchez@ccmijesususon.com. Prostatic Artery Embolization (PAE) for Symptomatic Benign Prostatic Hyperplasia (BPH): Part 2, Insights into the Technical Rationale. United States. doi:10.1007/S00270-015-1238-5.
Sun, Fei, E-mail: feisun@ccmijesususon.com, Crisóstomo, Verónica, E-mail: crisosto@ccmijesususon.com, Báez-Díaz, Claudia, E-mail: cbaez@ccmijesususon.com, and Sánchez, Francisco M., E-mail: msanchez@ccmijesususon.com. Mon . "Prostatic Artery Embolization (PAE) for Symptomatic Benign Prostatic Hyperplasia (BPH): Part 2, Insights into the Technical Rationale". United States. doi:10.1007/S00270-015-1238-5.
@article{osti_22469591,
title = {Prostatic Artery Embolization (PAE) for Symptomatic Benign Prostatic Hyperplasia (BPH): Part 2, Insights into the Technical Rationale},
author = {Sun, Fei, E-mail: feisun@ccmijesususon.com and Crisóstomo, Verónica, E-mail: crisosto@ccmijesususon.com and Báez-Díaz, Claudia, E-mail: cbaez@ccmijesususon.com and Sánchez, Francisco M., E-mail: msanchez@ccmijesususon.com},
abstractNote = {Rationale of prostatic artery embolization (PAE) in the treatment of symptomatic benign prostatic hyperplasia is conventionally believed to include two parts: shrinkage of the enlarged prostate gland as a result of PAE-induced ischemic infarction and potential effects to relax the increased prostatic smooth muscle tone by reducing the number and density of α{sub 1}-adrenergic receptor in the prostate stroma. This review describes new insights into the likely mechanisms behind PAE, such as ischemia-induced apoptosis, apoptosis enhanced by blockage of androgens circulation to the embolized prostate, secondary denervation following PAE, and potential effect of nitric oxide pathway immediately after embolization. Studies on therapeutic mechanisms in PAE may shed light on potentially new treatment strategies and development of novel techniques.},
doi = {10.1007/S00270-015-1238-5},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 2,
volume = 39,
place = {United States},
year = {2016},
month = {2}
}