Korkmaz M.Åžanal B.Aras B.Bozkaya H.Çlnar C.Güneyli S.Gök M.Adam G.Düzgün F.Oran I.2024-07-222024-07-22201622115684http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15930Purpose: Selective transarterial embolization (TAE) of the internal iliac artery is a well-known alternative technique to control intractable bladder hemorrhage (IBH). We explored the shortand long-term effectiveness of, and clinical outcomes after, TAE in patients with IBH. Materials and methods: In this retrospective study, we reviewed the hospital records of 18 IBH patients non-responsive to conservative medications who underwent TAE between January 2003 and May 2014. The early- and long-term effectiveness of TAE was investigated in the context of hematuria control, complications, mortality, requirement for blood transfusions, and hematocrit level. Results: Sixteen of the 18 patients underwent endovascular treatment; the technical success rate was 88%. TAE allowed complete remission in 16 patients (100% clinical success). On follow-up, mean hematocrit (P = 0.003) and hemoglobin (P = 0.005) levels significantly improved. Thirteen of the 16 patients (81%) required no further emergency admission after TAE during a mean follow-up period of 18.1 months (range, 3-105 months). Conclusion: TAE is a feasible, effective, and safe technique in both the short- and long-term for the treatment of IBH. © 2015 Éditions françaises de radiologie.EnglishAdolescentAdultAgedAged, 80 and overCatheterizationEmbolization, TherapeuticFemaleHematuriaHemorrhageHumansIliac ArteryMaleMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeUrinary Bladder DiseasesYoung Adulthemoglobinadultagedarterial embolizationArticlebladder bleedingblood transfusionclinical articleclinical effectivenessclinical outcomeconservative treatmentemergency careendovascular surgeryfemalefeverfollow upgluteal painhematocrithematuriahemoglobin blood levelhospital admissionhumanintractable bladder hemorrhagelong term caremalemedical recordnauseapostoperative complicationpostoperative painretrospective studyshort course therapyvomitingadolescentartificial embolizationbladder diseasebleedingcatheterizationcomplicationhematuriailiac arterymiddle agedprocedurestime factortreatment outcomevery elderlyyoung adultArticle10.1016/j.diii.2015.06.020