Speaking to Interventional News at the recent Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2022 annual meeting (10–14 September, Barcelona, Spain), Arthur Rocha (São Paulo, Brazil), from professor Carnevale’s team, shares the development of an optimised imaging workflow—which consists of “cone-beam computed tomography (CBCT) from the internal iliac artery as the main imaging and the use of embolization planning and guidance software such as Embo ASSIST (GE HealthCare) to improve anatomy assessment and prostate artery embolization (PAE) planning and navigation.
Arthur Rocha outlines some of the advantages of CBCT with software such as Embo ASSIST compared to digital subtraction angiography (DSA), noting that it helps “avoid misleading identification of the origin of the prostatic artery, which would make navigation difficult, as well as identify secondary prostatic arteries which, if not embolized, may lead to symptoms recurrence”.
He examines past literature on PAE and how it relates to a recently conducted study which showed that CBCT helped find almost four times more secondary arteries than previously described based on DSA only. “We recommend routine use of CBCT imaging with augmented planning and guidance software to improve PAE outcomes,” concludes Arthur Rocha.
This video is sponsored by GE HealthCare.