Hong Kong Med J 2008;14:485-8 | Number 6, December 2008
Superselective embolisation of bilateral superior vesical arteries for management of haemorrhagic cystitis
CL Cho, Miranda HY Lai, HS So, Kimmy KM Kwok, James CS Chan, Venu Velayudhan
Division of Urology, Department of Surgery, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Hong Kong
Bladder haemorrhage is common and sometimes life-threatening. Management options include bladder irrigation and supportive transfusion, intravesical instillation, endourological intervention, and surgical intervention which has poor success and high morbidity rates. Percutaneous arterial embolisation offers another minimally invasive option. We report two patients with severe haemorrhagic cystitis treated with superselective embolisation of bilateral superior vesical arteries. The technique is safe and effective for achieving immediate control of refractory bladder haemorrhage. The long-term efficacy of the procedure requires further investigation.
Key words: Cystitis; Embolization, therapeutic; Hemorrhage; Urinary bladder diseases
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