Case of the Month - September 2024

 

C is the prostatic artery

Typically, the obturator artery is also visible, however it was replaced to the external iliac artery in this patient. A mnemonic that can be helpful to remember the branches of the internal iliac artery is PROVISO (internal Pudendal artery, middle Rectal artery, Obturator artery, Vesical Inferior and vesical Superior arteries, which are best visualized with an ipsilateral Oblique view). The inferior vesical artery and prostatic artery branches typically arise from a common trunk.

SwiftNinja microcatheter (Merit) and Fathom microwire (Boston Scientific) were used to select the left prostatic artery. What is the next best step?

A.    Embolize the prostatic artery with particles

B.    Embolize the prostatic artery with coils

C.   Angiography with cone-beam CT

D.   Contrast enhanced ultrasound