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Related Experiment Video

Updated: Jun 27, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Safe Prostatic Artery Embolization with Cyanoacrylate: Representative Cases Demonstrating Non-Target Artery

Antonio Vizzuso1, Antonio Spina1, Maria Vittoria Bazzocchi1

  • 1Radiology Unit, Morgagni-Pierantoni Hospital, AUSL (Azienda Unità Sanitaria Locale) Romagna, 47121 Forli, Italy.

Diagnostics (Basel, Switzerland)
|June 26, 2026
PubMed
Summary

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Embolization of post-partial nephrectomy upper calyceal-perirenal urinary fistula using onyx-34: A novel application of a (pseudo-) liquid embolic agent.

Indian journal of urology : IJU : journal of the Urological Society of India·2026
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Cholecystostomy: how to get a safe way to perform a percutaneous biopsy of the pancreatic head.

Quantitative imaging in medicine and surgery·2025
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Correction: Prostatic artery embolization with glue for benign prostatic hyperplasia in elderly patients: three-year results.

La Radiologia medica·2025
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Prostatic artery embolization with glue for benign prostatic hyperplasia in elderly patients: three-year results.

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Rim enhancement on imaging of pancreatic ductal adenocarcinoma: systematic review and meta-analysis of biological and prognostic values.

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Real-World Outcomes of Splenic Artery Embolization in Blunt Splenic Trauma: Insights from an Italian Multicenter Cohort.

Journal of personalized medicine·2025

N-butyl cyanoacrylate methylsulfone (NBCA) glue offers precise prostatic artery embolization (PAE) control for complex anatomy. This technique enhances embolization and preserves non-target arteries, including the penile artery, presenting a safe alternative to particle embolization.

Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Urology

Background:

  • Prostatic artery embolization (PAE) is a treatment for benign prostatic hyperplasia.
  • Standard PAE often uses particulate embolization, which can pose challenges in complex pelvic vascular anatomy.
  • Preserving non-target arteries, particularly the penile artery, is crucial during PAE.

Purpose of the Study:

  • To evaluate the technical advantages of n-butyl cyanoacrylate methylsulfone (NBCA) glue for PAE.
  • To assess NBCA's efficacy in managing complex pelvic vascular anatomy.
  • To determine NBCA's ability to preserve non-target arteries, focusing on penile artery protection.

Main Methods:

  • Five cases of PAE were performed using NBCA mixed with iodized oil (1:5 dilution).
Keywords:
N-butyl cyanoacrylateatherosclerotic vascular diseasebenign prostatic hyperplasiacyanoacrylateembolic control techniquesnon-target embolizationpelvic vascular anatomypenile artery preservationprostatic artery embolization

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  • Injections were delivered in small aliquots (0.1-0.3 mL) under fluoroscopy using a blocked-flow technique.
  • The microcatheter was withdrawn before complete glue polymerization to allow contralateral side use.

    • Main Results:

    • NBCA provided precise embolic control through various mechanisms (distal, proximal, reflux, contralateral).
    • The technique avoided the need for protective coiling.
    • Non-target artery preservation, including the penile artery, was achieved.

    Conclusions:

    • Glue-based PAE using NBCA is a reproducible, safe, and efficient alternative to particulate embolization.
    • NBCA offers enhanced embolization control in complex pelvic vascular cases.
    • This method facilitates superior non-target artery preservation.