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High-flow priapism: a combined interventional approach with angiography and colour Doppler by Bjoern G Volkmer; Thomas Nesslauer; Rainer Kuefer; Stefan Kraemer; Johannes Goerich; Hans-Werner Gottfried is a Medicine article available to read on EtoBox.

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Traumatic high-flow priapism caused by a pathologic influx from lacerated arteries to the cavernous bodies is usually treated by transcatheter arterial embolisation. The purpose of this study was to evaluate a combined interventional approach with intraoperative perineal colour Doppler ultrasound (US) while performing the embolisation procedure. Our aim was to reduce radiation exposure and application of iodinised contrast media. To achieve an optimal position of the angiography catheter directly before or in the fistula, instead of several x-ray examinations with contrast media, a perineal colour Doppler US examination was performed while saline or US contrast media were injected through the catheter. The flow pattern allows the assessment of the occlusion of the fistula and the intact flow in the arteries that were not damaged. In four patients (unilateral fistula: 1, bilateral fistulas: 3) with traumatic high-flow priapism, this technique was performed combined with a conventional angiographic control of the embolisation. Seven embolisation sessions were performed. Only in one case, a dislocation of a microcoil required a second session. In all cases, the priapism disappeared im

Who reads High-flow priapism: a combined interventional approach with angiography and colour Doppler?

Author

Bjoern G Volkmer; Thomas Nesslauer; Rainer Kuefer; Stefan Kraemer; Johannes Goerich; Hans-Werner Gottfried

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0301-5629)

Published

2002

Language

EN

Field

Medicine (Health Sciences)