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Ethylene-vinyl alcohol copolymer (Onyx®) transarterial embolization for post-traumatic high-flow priapism

  
@article{QIMS10763,
	author = {Olivier Chevallier and Sophie Gehin and Alain Foahom-Kamwa and Pierre Pottecher and Sylvain Favelier and Romaric Loffroy},
	title = {Ethylene-vinyl alcohol copolymer (Onyx ® ) transarterial embolization for post-traumatic high-flow priapism},
	journal = {Quantitative Imaging in Medicine and Surgery},
	volume = {6},
	number = {3},
	year = {2016},
	keywords = {},
	abstract = {We report a case of high-flow priapism treated successfully with superselective embolization of the cavernous artery. A 16-year-old male developed post-traumatic priapism subsequent to a fall causing blunt perineal trauma. He presented to our hospital four days after trauma. Immediately after the injury, he suffered painless sustained incomplete erection. High-flow priapism was diagnosed on the basis of color doppler ultrasonography findings. Computed tomography scan showed a high-flow arterio-venous fistula with feeders from branches of the right internal iliac artery. Selective arteriography of the right internal pudendal artery demonstrated an arterio-cavernous fistula. The fistula was superselectively embolized with ethylene-vinyl alcohol copolymer (Onyx®) liquid agent and disappeared completely. Improvement was noted, with significant detumescence on table. This was later confirmed on repeat color Doppler imaging. At follow-up 3 months later, he had normal erectile function. To our knowledge, transarterial embolization of high-flow priapism with Onyx® has never been reported and appears to be a safe and effective treatment for managing patients with such a condition.},
	url = {http://qims.amegroups.com/article/view/10763}
}