Anticancer Hospital Agios Savvas

Athens, Greece

Anticancer Hospital Agios Savvas

Athens, Greece
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Moschouris H.,General Hospital Tzanio | Stamatiou K.,General Hospital Tzanio | Kornezos I.,General Hospital Tzanio | Kartsouni V.,Anticancer Hospital Agios Savvas | Malagari K.,Rimini Street
CardioVascular and Interventional Radiology | Year: 2017

This is a report of a case of bladder ischemia which complicated bilateral prostatic artery embolization in an 80-year-old man with benign prostate hyperplasia and indwelling bladder catheter. Reflux of 100 μm microspheres into superior vesical arteries was the most likely cause. An unenhanced computed tomography (CT) scan performed immediately post-embolization showed retention of contrast in the left anterolateral bladder wall. Five days later, CT showed gas collections and dehiscence of the bladder wall at the same site, involving an area of 47 × 42 mm. Treatment included prolonged (6 weeks) bladder catheterization and antibiotics. Partial resolution of the CT findings and 43% reduction in the prostatic volume were noted after that period; no leakage was detected on ascending cystogram, and the patient was capable of spontaneous micturition. © 2017 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE)


Tsoucalas G.,Anticancer Hospital Agios Savvas | Sarafianou E.,Anticancer Hospital Agios Savvas | Galanos A.,National and Kapodistrian University of Athens | Parpa E.,National and Kapodistrian University of Athens | And 7 more authors.
Journal of B.U.ON. | Year: 2014

Purpose: Cancer pain is the most serious symptom for patients, especially during their terminal phase, when palliative medicine is needed. Our study tried to verify the usefulness of single-shot intravenous administration of Samarium (Sm)-153EDTMP in patients with bone metastases (group-A, N=53, males=25, females=28, age range: 30-69 years), as well as to compare a series of variables, using as a control group (group-B, N=37, males=17,females=20, age range: 30-69 years) with patients who were under drug treatment given from a physician specialized in palliative medicine. Methods: Both groups answered the following questionnaires: Greek Brief Pain Inventory (GBPI), Brief Multidimensional Life Satisfaction Scale (BMLSS), Hospital Anxiety Depression Scale (HADS) and ECOG performance status. Results: Pain severity and pain interference improvement p=0.0005 for both groups. HADS-anxiety: Samarium group, p= 0.397, drugs group p= 0.031. HADS-depression improvement for both groups p=0.031 and p=0.003, respectively. BMLSS improvement p=0.029 and p=0.265, while EGOG PS improvement was p=0.005 and p=0.014, respectively (numeric values). Conclusion: Intravenous administration of Sm-153EDT-MP was equivalent to drug treatment against cancer pain for patients with multiple bone metastasis, an option for those patients who are intolerant or resistant to drug treatment. Samarium-treated patients needed less or not at all pain killers, having a better cost-effective result.

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