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The Role of Accessory Obturator Arteries in Prostatic Arterial Embolization
Bilhim, T; Pisco, J; Campos Pinheiro, L; Rio Tinto, H; Fernandes, L; Pereira, JIn 9 of 491 patients (1.8%) who underwent prostatic arterial embolization (PAE) for benign prostatic hyperplasia from March 2009-November 2013, prostatic arteries arose from the external iliac artery via an accessory obturator artery (AOA). Computed tomography angiography performed before the procedure identified the variant and allowed planning before the procedure. The nine AOAs were catheterized from a contr...
Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary T...
Bilhim, T; Pisco, JM; Rio Tinto, H; Fernandes, L; Pinheiro, LC; Duarte, M; Pereira, J; Oliveira, A; Goyri-O'Neill, JPURPOSE: This study was designed to compare baseline data and clinical outcome between patients with prostate enlargement/benign prostatic hyperplasia (PE/BPH) who underwent unilateral and bilateral prostatic arterial embolization (PAE) for the relief of lower urinary tract symptoms (LUTS). METHODS: This single-center, ambispective cohort study compared 122 consecutive patients (mean age 66.7 years) with unila...
Embolisation of Prostatic Arteries as Treatment of Moderate to Severe Lower Uri...
Pisco, JM; Rio Tinto, H; Pinheiro, LC; Bilhim, T; Duarte, M; Fernandes, L; Pereira, J; Oliveira, AOBJECTIVES: To evaluate the short- and medium-term results of prostatic arterial embolisation (PAE) for benign prostatic hyperplasia (BPH). METHODS: This was a prospective non-randomised study including 255 patients diagnosed with BPH and moderate to severe lower urinary tract symptoms after failure of medical treatment for at least 6 months. The patients underwent PAE between March 2009 and April 2012. Techni...
Sciatic Nerve High Division: Two Different Anatomical Variants
Pais, D; Casal, D; Bettencourt Pires, MA; Furtado, A; Bilhim, T; Almeida, MA; Goyri-O'Neill, JIntroduction: Sciatic nerve variations are relatively common. These variations are often very significant in several fields of Medicine. The purpose of this paper is to present two such variants and discuss their clinical implications. Material and Methods: Three Caucasian cadavers with no prior history of lower limb trauma or surgery were dissected and found to present anatomical variants of the ...
Prostatic Arterial Supply: Anatomic and Imaging Findings Relevant for Selective...
Bilhim, T; Pisco, JM; Rio Tinto, H; Fernandes, L; Pinheiro, LC; Furtado, A; Casal, D; Duarte, M; Pereira, J; Oliveira, A; Goyri-O'Neill, JPURPOSE: To describe the anatomy and imaging findings of the prostatic arteries (PAs) on multirow-detector pelvic computed tomographic (CT) angiography and digital subtraction angiography (DSA) before embolization for symptomatic benign prostatic hyperplasia (BPH). MATERIALS AND METHODS: In a retrospective study from May 2010 to June 2011, 75 men (150 pelvic sides) underwent pelvic CT angiography and selective...
Prostatic Artery Embolization in the Treatment of Benign Prostatic Hyperplasia:...
Rio Tinto, H; Pisco, JM; Bilhim, T; Duarte, M; Fernandes, L; Pereira, J; Pinheiro, LCTo evaluate the short and mid-term results of prostatic artery embolization in patients with benign prostatic embolization. Retrospective study between March 2009 and June 2011 with 103 patients (mean age 66.8 years, 50-85) that met our inclusion criteria with symptomatic benign prostatic hyperplasia. The clinical outcome was evaluated by the International Prostate Symptom Score (IPSS), quality of life (QoL), I...
A Rare Variant of the Ulnar Artery with Important Clinical Implications: a Case...
Casal, D; Pais, D; Toscano, T; Bilhim, T; Rodrigues, L; Figueiredo, I; Aradio, S; Almeida, MA; Goyri-O'Neill, JBACKGROUND: Variations in the major arteries of the upper limb are estimated to be present in up to one fifth of people, and may have significant clinical implications. CASE PRESENTATION: During routine cadaveric dissection of a 69-year-old fresh female cadaver, a superficial brachioulnar artery with an aberrant path was found bilaterally. The superficial brachioulnar artery originated at midarm level from the...
Prostatic Arterial Embolization to Treat Benign Prostatic Hyperplasia
Pisco, JM; Pinheiro, LC; Bilhim, T; Duarte, M; Mendes, J; Oliveira, APURPOSE: To evaluate whether prostatic arterial embolization (PAE) might be a feasible procedure to treat lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH). MATERIALS AND METHODS: Fifteen patients (age range, 62-82 years; mean age, 74.1 y) with symptomatic BPH after failure of medical treatment were selected for PAE with nonspherical 200-μm polyvinyl alcohol particles. The procedu...
A Rare Variation of the Extensor Indicis Proprius Tendon With Important Clinica...
Casal, D; Pais, D; Bilhim, T; Ribeiro, V; Cunha, S; Damásio, C; Fernandes, R; Almeida, MA; Goyri-O'Neill, JIntroduction: Anatomical variations of the extensor tendons to the fingers are of great clinical interest, due to the relatively high frequency of tendon injury in clinical practice. Material and methods: During routine dissection of the right upper limb of a 67-year-old female preserved corpse, the extensor indicis proprius (EIP) muscle belly originated 3 independent tendons, each with a separate fascial sheat...
Morphometric Analysis of the Extensor Tendons of the Hallux and Potential Impli...
Casal, D; Pais, D; Almeida, MA; Bilhim, T; Santos, A; Goyri-O'Neill, JAlthough several tendon sources are available for reconstructive surgical procedures, all have one or more shortcomings. The aim of this work was to evaluate if the extensor tendons of the hallux showed anatomical characteristics that could make them an additional source for tendon grafting procedures.The authors performed a detailed morphometric analysis of the extensor tendons of the hallux in 26 lower limbs ...
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