Therapeutic transcatheter arterial embolization in the management of intractable XXXX from pelvic @entity5 : preliminary experience and long-term follow-up.

@entity1 @entity263 @entity390 @entity548 @entity5 @entity391 @entity2998 @entity150
OBJECTIVE: To evaluate the feasibility, efficacy and complications of @entity2998 as a palliative measure in the control of intractable @entity548 from advanced pelvic @entity5 . @entity1 AND METHODS: Six @entity1 (mean age 80 years, range 76-87) with advanced pelvic @entity5 (three each with @entity150 and @entity263 ) underwent embolization between September 1997 and July 2001, using permanent coils in the anterior division of internal iliac artery bilaterally. RESULTS: All @entity1 had undergone conservative treatment before embolization for a mean of 2 days. The mean requirement for transfusion before embolization was 3.2 units. All @entity1 except one were successfully embolized in a single setting with no complications. Bleeding was successfully controlled in one @entity1 at the second attempt of embolization. There were minor complications, e.g. @entity390 , @entity391 or fever, for a mean of 2 days, responding well to conservative treatment. At a mean follow-up of 22 months, no @entity1 had a recurrence of @entity548 . CONCLUSION: Internal iliac artery embolization is a feasible, effective and minimally invasive option in managing advanced pelvic @entity5 presenting with intractable @entity548 ; it should be bilateral and permanent.
