{"id":1369,"date":"2019-10-26T21:49:43","date_gmt":"2019-10-26T21:49:43","guid":{"rendered":"https:\/\/adenome-prostate.com\/?p=1369"},"modified":"2024-11-08T12:55:37","modified_gmt":"2024-11-08T12:55:37","slug":"successful-prostate-embolization","status":"publish","type":"post","link":"https:\/\/adenome-prostate.com\/en\/reussite-embolisation-prostate\/","title":{"rendered":"Study on prostatic artery embolization"},"content":{"rendered":"

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Embolisation des art\u00e8res prostatiques : Un traitement qui remplace la chirurgie prostate<\/h1>\n

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Une \u00e9tude men\u00e9e aupr\u00e8s de 1550 patients indique que l’embolisation des art\u00e8res prostatique est efficace pendant une d\u00e9cennie<\/p>\n

[\/et_pb_text][et_pb_button button_url=\u00a0\u00bbhttps:\/\/adenome-prostate.com\/nouveau-traitement-hypertrophie-benigne-prostate\/\u00a0\u00bb button_text=\u00a0\u00bbQu’est ce que l’embolisation de la prostate\u00a0\u00bb button_alignment_tablet=\u00a0\u00bb\u00a0\u00bb button_alignment_phone=\u00a0\u00bbcenter\u00a0\u00bb button_alignment_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bb518a17de-657b-4d13-83e1-1b96aef04ec7″ button_text_size=\u00a0\u00bb12px\u00a0\u00bb button_font=\u00a0\u00bb|700||on|||||\u00a0\u00bb custom_padding=\u00a0\u00bb13px|30px|13px|30px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_button][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.23.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb70%\u00a0\u00bb width_tablet=\u00a0\u00bb70%\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_phone=\u00a0\u00bb100%\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb|18px||18px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb column_structure=\u00a0\u00bb1_2,1_2″][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.19.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb|14px||0px|false|false\u00a0\u00bb border_color_right=\u00a0\u00bb#cccccc\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_font_size=\u00a0\u00bb47px\u00a0\u00bb header_2_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bbRGBA(0,11,48,0.82)\u00a0\u00bb header_2_font_size=\u00a0\u00bb28px\u00a0\u00bb width=\u00a0\u00bb98%\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb custom_margin=\u00a0\u00bb|0px||0px|false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb|0px||0px|false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb|48px||48px|false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_color_right=\u00a0\u00bbRGBA(0,11,48,0.82)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

\u00c9tude<\/strong><\/span><\/h4>\n

L\u2019embolisation de la prostate (EAP) pourrait devenir la proc\u00e9dure de soins standard pour le traitement de l\u2019hypertrophie b\u00e9nigne de la prostate (HBP), a propos\u00e9 Tiago Bilhim (CHULC, H\u00f4pital Saint Louis, Lisbonne, Portugal), en raison des \u00abbons r\u00e9sultats cliniques\u00bb pr\u00e9sent\u00e9s \u00e0 la R\u00e9union annuelle 2019 de la Soci\u00e9t\u00e9 europ\u00e9enne des maladies cardiovasculaires et radiologiques (CIRSE; 7 au 11 septembre, Barcelone, Espagne).<\/p>\n

Les investigateurs ont entrepris d’\u00e9valuer les r\u00e9sultats de l’EAP chez les patients atteints d’HBP, pr\u00e9sentant des sympt\u00f4mes mod\u00e9r\u00e9s \u00e0 s\u00e9v\u00e8res des voies urinaires inf\u00e9rieures. L’\u00e9tude r\u00e9trospective monocentrique a examin\u00e9 les donn\u00e9es de 1 550 patients collect\u00e9s de mani\u00e8re prospective entre mars 2009 et f\u00e9vrier 2019.<\/p>\n

\u00ab\u00a0Les param\u00e8tres subjectifs et objectifs ont \u00e9t\u00e9 \u00e9valu\u00e9s\u00a0\u00bb, a d\u00e9clar\u00e9 Bilhim. Le score international des sympt\u00f4mes de la prostate (IPSS), le score de qualit\u00e9 de vie (QV) et l’indice international de la fonction \u00e9rectile (IIEF-5) ont \u00e9t\u00e9 class\u00e9s comme des mesures subjectives, tandis que les chercheurs ont \u00e9galement calcul\u00e9 les changements du volume de la prostate (PV) \u00e0 l’aide de ultrasons, d\u00e9bit urinaire maximal (Qmax), r\u00e9sidu urinaire post-vide (PVR) et concentration en antig\u00e8ne prostatique sp\u00e9cifique (PSA). Tous ont \u00e9t\u00e9 \u00e9valu\u00e9s avant le PAE, puis un, six et 12 mois apr\u00e8s le PAE, puis annuellement pendant 10 ans.<\/p>\n

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R\u00e9sultats cliniques<\/strong><\/span><\/h4>\n

Il y avait un changement statistiquement significatif par rapport aux valeurs initiales dans les param\u00e8tres \u00e9valu\u00e9s \u00e0 toutes les \u00e9chelles de temps. \u00c0 court terme, d\u00e9fini entre un \u00e0 12 mois apr\u00e8s l’EAP, le taux de succ\u00e8s clinique cumulatif moyen \u00e9tait de 88,1% (extr\u00eames: 77,6 \u00e0 92,4%). \u00c0 moyen terme, deux \u00e0 cinq ans apr\u00e8s la proc\u00e9dure, ce taux \u00e9tait de 85,1% (extr\u00eames: 71,3 \u00e0 93,1%) et, \u00e0 long terme, de six \u00e0 dix ans apr\u00e8s le PAE, le taux de succ\u00e8s clinique cumulatif moyen \u00e9tait de 76,8% (extr\u00eames: 69,1\u201384,6%). Bilhim a d\u00e9crit l’\u00e9volution du taux de succ\u00e8s clinique cumul\u00e9 de court \u00e0 long terme – de 88,1% \u00e0 76,8% – comme \u00ab\u00a0une tr\u00e8s faible baisse\u00a0\u00bb sur dix ans.<\/p>\n

La r\u00e9duction moyenne du score IPSS<\/strong> \u00e9tait de 13,5 \u00b1 6,9 \u00e0 court terme, de 14,1 \u00b1 7,3 \u00e0 moyen terme et de 13,9 \u00b1 8,7 \u00e0 long terme.<\/p>\n

L’am\u00e9lioration moyenne de la qualit\u00e9 de vie<\/strong> \u00e9tait \u00e9galement constante sur dix ans: 1,8 \u00b1 1,2 \u00e0 court terme, 2,1 \u00b1 1,3 \u00e0 moyen terme et 1,7 \u00b1 1,5 \u00e0 long terme. Une r\u00e9duction du volume de la prostate a \u00e9galement \u00e9t\u00e9 observ\u00e9e jusqu’\u00e0 dix ans, la r\u00e9duction moyenne \u00e0 long terme \u00e9tant de 16,9 \u00b1 26,6cm3 et une r\u00e9duction \u00e0 court terme de 18,3 \u00b1 27,9cm3.<\/p>\n

Sur les 156 patients en r\u00e9tention urinaire aigu\u00eb (AUR), 140 (89,7%) ont eu le cath\u00e9ter de la vessie retir\u00e9 entre deux jours et trois mois; 10 ont eu des PAE r\u00e9p\u00e9t\u00e9s et six ont \u00e9t\u00e9 op\u00e9r\u00e9s. Pour les 312 patients dont le volume de la prostate \u00e9tait sup\u00e9rieur \u00e0 100 ml, le taux de succ\u00e8s clinique \u00e9tait \u00e9lev\u00e9: chez 80,7% des patients (252 personnes) \u00e0 court terme; 77,6% des patients (242 personnes) \u00e0 moyen terme; 75,3% des patients (235 individus) \u00e0 long terme. Bilhim a signal\u00e9 trois complications majeures: une isch\u00e9mie des parois de la vessie, une douleur p\u00e9rin\u00e9ale pendant trois mois sans s\u00e9quelle et un patient ayant expuls\u00e9 des fragments de prostate et une AUR trait\u00e9e par r\u00e9section transur\u00e9trale de la prostate (TURP) sans s\u00e9quelle.<\/p>\n

D\u00e9crivant les r\u00e9sultats techniques, Bilhim a rapport\u00e9 que, dans 90% des patients (1 324 personnes), l’interventionniste avait eu acc\u00e8s au syst\u00e8me vasculaire par l’art\u00e8re f\u00e9morale. Depuis 2016, les radiologues d’intervention de l’h\u00f4pital Saint-Louis de Lisbonne, au Portugal, utilisaient l’acc\u00e8s radial gauche. 10% de la cohorte (148 patients) en ont donc fait l’exp\u00e9rience. \u00abC\u2019est notre approche de premi\u00e8re ligne\u00bb, a-t-il d\u00e9clar\u00e9 \u00e0 propos de la technique, ajoutant qu\u2019\u00e0 pr\u00e9sent, ils l\u2019utilisaient \u00abde plus en plus\u00bb.<\/p>\n

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Lire l’article original en anglais sur InterventionalNews<\/a><\/p>\n

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Tout savoir sur le geste d’embolisation de la prostate<\/a><\/p>\n

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Le NHS au Royaume Uni recommande l’embolisation des art\u00e8res prostatique.<\/a><\/p>\n

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Embolisation des art\u00e8res prostatiques : Un traitement qui remplace la chirurgie prostate  Une \u00e9tude men\u00e9e aupr\u00e8s de 1550 patients indique que l’embolisation des art\u00e8res prostatique est efficace pendant une d\u00e9cennie\u00c9tude L\u2019embolisation de la prostate (EAP) pourrait devenir la proc\u00e9dure de soins standard pour le traitement de l\u2019hypertrophie b\u00e9nigne de la prostate (HBP), a propos\u00e9 Tiago […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[401],"tags":[],"class_list":["post-1369","post","type-post","status-publish","format-standard","hentry","category-etudes-externes-sur-lembolisation-de-la-prostate"],"yoast_head":"\n\u00c9tude sur l'embolisation des art\u00e8res prostatique - Centre Embolisation Prostate<\/title>\n<meta name=\"description\" content=\"Embolisation de la prostate - 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