Angiographic Anatomy of the Prostatic Artery in the Korean Population: A Bicentric Retrospective Study.

IF 4.4 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Seunghyun Lee, Dong Jae Shim, Doyoung Kim, Soo Buem Cho, Seung Hwan Baek, Edward Wolfgang Lee, Jung Whee Lee
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引用次数: 0

Abstract

Objective: The aim of this study was to analyze the origins of prostatic arteries (PAs) in the Korean population and compare them with those reported in the literature.

Materials and methods: From April 2018 to February 2024, 108 male (mean age ± standard deviation: 71.6 ± 9.7 years) with lower urinary tract symptoms (n = 102) or refractory hematuria (n = 6) underwent prostatic artery embolization (PAE). Computed tomography and angiography images were retrospectively reviewed. The branching pattern of the internal iliac artery (IIA) was classified according to the Yamaki system. The origin of the PA was categorized using the de Assis definition, and the incidence of each type was recorded. A systematic literature review was conducted and the most common types of PA were investigated.

Results: PAE was successfully implemented on 211 of the 216 pelvic sidewalls. PA cannulation failed in five sidewalls due to a steno-occlusive state. The most common IIA type was type A, in which the IIA was divided into the superior gluteal artery and gluteal-pudendal trunk (77%). Of 226 PAs analyzed, including 15 in 211 sidewalls exhibiting dual PAs, the most common PA origin was the internal pudendal artery (type IV, 35%), followed by the superior vesical (type I, 25%) and obturator (type III, 21%) arteries. Anterior division of IIA (type II) was less common (10%). Type V (uncommon origins) occurred in 8% of cases, including five distal internal pudendal arteries, four quadfurcations, three inferior gluteal arteries, three trifurcations, two medial femoral circumflex arteries, and two rectal arteries. Two of the five patients with surgically or endovascularly altered anatomy were successfully treated via PAs originating from the medial femoral circumflex arteries. Globally, type I is the most common PA type.

Conclusion: In the Korean population, the most common IIA pattern and PA origin were types A and IV, respectively.

韩国人前列腺动脉的血管造影解剖:一项双中心回顾性研究
研究目的本研究旨在分析韩国人群中前列腺动脉(PA)的起源,并与文献报道进行比较:从 2018 年 4 月至 2024 年 2 月,108 名男性(平均年龄 ± 标准差:71.6 ± 9.7 岁)因下尿路症状(102 人)或难治性血尿(6 人)接受了前列腺动脉栓塞术(PAE)。对计算机断层扫描和血管造影图像进行了回顾性审查。根据Yamaki系统对髂内动脉(IIA)的分支模式进行了分类。根据 de Assis 的定义对 PA 的起源进行分类,并记录每种类型的发生率。对文献进行了系统性回顾,并调查了最常见的 PA 类型:在 216 个骨盆侧壁中,有 211 个成功实施了 PAE。有 5 个侧壁的 PA 插管因狭窄闭塞状态而失败。最常见的IIA类型是A型,其中IIA分为臀上动脉和臀-耻骨干(77%)。在分析的 226 个 PA 中,包括 211 个侧壁中表现出双 PA 的 15 个,最常见的 PA 起源是臀内动脉(IV 型,35%),其次是膀胱上动脉(I 型,25%)和闭孔动脉(III 型,21%)。IIA 的前部分支(II 型)较少见(10%)。8% 的病例中出现了 V 型(不常见的起源),包括五条远端阴内动脉、四条四叉动脉、三条臀下动脉、三叉动脉、两条股内侧环状动脉和两条直肠动脉。手术或血管内改变解剖结构的五名患者中,有两名成功地通过源自股内侧周动脉的PA进行了治疗。在全球范围内,I型是最常见的PA类型:结论:在韩国人群中,最常见的IIA模式和PA起源分别为A型和IV型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Korean Journal of Radiology
Korean Journal of Radiology 医学-核医学
CiteScore
10.60
自引率
12.50%
发文量
141
审稿时长
1.3 months
期刊介绍: The inaugural issue of the Korean J Radiol came out in March 2000. Our journal aims to produce and propagate knowledge on radiologic imaging and related sciences. A unique feature of the articles published in the Journal will be their reflection of global trends in radiology combined with an East-Asian perspective. Geographic differences in disease prevalence will be reflected in the contents of papers, and this will serve to enrich our body of knowledge. World''s outstanding radiologists from many countries are serving as editorial board of our journal.
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