Arterial Embolisation

Arterial Embolisation is a pinhole minimally invasive or non-surgical procedure. Over the past few decades, advances in arterial embolisation have transformed the procedure into a safer, more effective one with a quick recovery - most patients are fully recovered within two weeks.

The procedure is carried out in a Cath Lab by an interventional radiologist. It involves in blocking of blood supply through a blood vessel to an abnormal area of tissue. During the procedure, a small incision is made in the inner thigh and a thin flexible tube (catheter) is inserted and guided into an artery near abnormal tissue. Once the catheter is in place, micron sized particles are injected which blocks the artery and stops the flow of blood to the tumor or abnormal area of tissue.

Arterial Embolisation or Trans-arterial embolisation (TAE) is used to treat Fibroids, Enlarged Prostate, Knee Osteoarthritis, Liver Tumor, Chronic Pelvic Pain (Pelvic Congestion Syndrome), Weight Loss, and even some types of kidney cancer, and neuroendocrine tumors.

Uterine Fibroid Embolisation

1. Uterine Artery Embolisation

Uterine Artery Embolisation (UAE) or Uterine Fibroids Embolisation (UFE) is a well-established, safe, and effective non-surgical procedure in the management of symptomatic uterine fibroids. The treatment option is usually offered to the patients during the first consultation.

Fibroids are benign tumours of the uterus, mostly seen in women during their reproductive age. More than 50% of the patients with uterine fibroid remain asymptomatic, hence needing no treatment at all. However, in many women, these may cause heavy menstrual bleeding, prolonged periods, anaemia, dysmenorrhea (painful periods), intermenstrual bleeding and infertility requiring medical attention. Large fibroids can also cause bloating, pelvic pressure, increased urine frequency and bowel disturbance.

The uterine artery embolisation comes with a gamut of benefits to the patients. Most importantly, the uterus is preserved which has an important role in the physical, emotional and sexual health as well as women’s overall wellbeing.

  • Shorter hospital stay (1-2 days)
  • Quicker recovery
  • Preservation of Uterus
  • Very minimal pain
  • Stich less or pin hole procedure

    2. Prostatic Artery Embolisation

    Prostatic artery embolisation (PAE) is one of the latest options to help treat moderate to severe cases of benign prostate hyperplasia (BPH) and helps improve lower urinary tract symptoms caused by enlarged prostate. BPH is a noncancerous enlargement of the prostate gland and is the most common benign tumor found in men.

    The standard of care for BPH is transurethral resection of the prostate (TURP). It is tried and true, but many men want an alternative to that method. Prostatic artery embolisation has picked up interest in the last few years.

    Prostatic artery embolisation is a minimally invasive, catheter-based procedure that shrinks the prostate by blocking blood flow to the gland. As with cardiac catheterization, radiologists enter through either the radial artery in the wrist or the common femoral artery in the hip. With a small wire and catheter, they navigate the blood vessels in the pelvis to reach the prostate. The prostate gland has two arteries, a right and a left. The interventional radiologists use the one puncture and just reposition the catheter to reach each artery and embolize, or close if off. Micron sized tiny particles are injected into the prostate arteries until blood flow significantly diminishes.

    Patients usually go home the same day after a few hours of recovery in the hospital. They may experience some soreness at the puncture site and may be prescribed with antibiotics to minimize the risk of infection as well as medication to reduce bladder inflammation. Men can resume normal activities in five to seven days. Within about 1-2 weeks after the procedure, 80 to 90% of patients experience improvement in their symptoms.

    3. Genicular artery embolisation 

    Genicular artery embolisation (GAE), or embolisation of the knee, is the latest pin-hole non-surgical procedure providing immediate and long-term pain relief for patients with osteoarthritis (OA). 

    We often think of osteoarthritis as a wear-and-tear disease that degrades cartilage and leads to bone-on-bone grinding. That is what we have always conventionally thought of as the cause of the pain. But newer data suggest that in addition to that, the pain source is probably inflammation. The inflammation likely contributes to the degeneration of the joint. The idea behind this minimally invasive procedure is that decreasing the blood supply to damaged areas of the knee joint will reduce inflammation and thereby decrease pain.

    Genicular artery embolisation is a proven treatment option that reduces pain and other symptoms, like stiffness and problems with gait, in more than 70% of patients. These patients had tried other treatments, like injections, without success and either were not candidates for knee replacement surgery or had decided against having it. The procedure is performed by interventional radiologists – doctors specially trained to do minimally invasive vascular procedures, such as angioplasty and embolization, to treat a variety of conditions.

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    FAQs
    What is arterial embolisation?

    Arterial Embolisation is a pinhole minimally invasive or non-surgical procedure. The procedure is carried out in a Cath Lab by an interventional radiologist. It involves in blocking of blood supply through a blood vessel to an abnormal area of tissue.

    What are benefits of arterial embolisation?

    Being a pinhole non-surgical procedure, it is usually performed as a day-care or short-stay procedure. Since there are no incisions, there are very minimal pain and no blood loss. The recovery also is very quick.

    What is prostatic artery embolisation?

    Prostatic artery embolisation (PAE) is one of the latest options to help treat moderate to severe cases of benign prostate hyperplasia (BPH) and helps improve lower urinary tract symptoms caused by enlarged prostate.

    How long does arterial embolisation last?

    The procedure generally takes between 30 and 120 minutes, and the patient can go home the same day.

    What are the conditions that can be treated by arterial embolisation technique?

    Arterial Embolisation or Trans-arterial embolization (TAE) is used to treat Fibroids, Enlarged Prostate, Knee Osteoarthritis, Liver Tumor, Chronic Pelvic Pain (Pelvic Congestion Syndrome), Weight Loss, and even some types of kidney cancer, and neuroendocrine tumors.

    What is uterine artery embolisation?

    Uterine Artery Embolisation (UAE) or Uterine Fibroids Embolization (UFE) is a well-established, safe, and effective non-surgical procedure in the management of symptomatic uterine fibroids.

    What is genicular artery embolisation?

    Genicular artery embolisation (GAE), or embolization of the knee, is the latest pin-hole non-surgical procedure providing immediate and long-term pain relief for patients with osteoarthritis (OA).

    Is arterial embolisation safe?

    It is a well-established, safe, and effective non-surgical procedure in the management of symptomatic uterine fibroids, to reduce knee pain for patients with osteoarthritis, to reduce the lower urinary tract symptoms caused by enlarged prostate, and few types of tumors.

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