Arterial Anatomy for Prostatic Artery Embolization

  • Mohammed M. Hoque
  • Kent Andrew Cabatingan
  • Sameer Mittal
  • Andrew Picel
  • Ari J. Isaacson


The variants associated with prostatic artery anatomy add to the challenge associated with PAE. Therefore, it is important to be familiar with the internal iliac branching patterns and the typical courses of the branches. The prostatic artery can arise from any branch of the internal iliac artery, but it most commonly arises from the internal pudendal artery, the obturator artery, or the anterior division itself.


Prostatic artery Anatomy Internal iliac artery Prostatic artery classification 


  1. 1.
    Yamaki K, Saga T, Doi Y, Aida K, Yoshizuka M. A statistical study of the branching of the human internal iliac artery. Kurume Med J. 1998;45:333–40.CrossRefGoogle Scholar
  2. 2.
    Hassen-Khodja R, Batt M, Michetti C, Le Bas P. Radiologic anatomy of the anastomotic systems of the internal iliac artery. Surg Radiol Anat. 1987;9:135–40.CrossRefGoogle Scholar
  3. 3.
    Bilhim T, Pisco JM, Rio Tinto H, Fernandes L, Pinheiro LC, Furtado A, et al. Prostatic arterial supply: anatomic and imaging findings relevant for selective arterial embolization. J Vasc Interv Radiol. 2012;23:1403–15.CrossRefGoogle Scholar
  4. 4.
    Clegg EJ. The arterial supply of the human prostate and seminal vesicles. J Anat. 1955;89:209–16.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Bilhim T, Tinto HR, Fernandes L, Martins Pisco J. Radiological anatomy of prostatic arteries. Tech Vasc Interv Radiol. 2012;15:276–85.CrossRefGoogle Scholar
  6. 6.
    Zhang G, Wang M, Duan F, Yuan K, Li K, Yan J, et al. Radiological findings of prostatic arterial anatomy for prostatic arterial embolization: preliminary study in 55 Chinese patients with benign prostatic hyperplasia. PLoS One. 2015;10:e0132678.CrossRefGoogle Scholar
  7. 7.
    Bilhim T, Pisco JM, Furtado A, Casal D, Pais D, Pinheiro LC, et al. Prostatic arterial supply: demonstration by multirow detector angio CT and catheter angiography. Eur Radiol. 2011;21:1119–26.CrossRefGoogle Scholar
  8. 8.
    de Assis AM, Moreira AM, de Paula Rodrigues VC, Harward SH, Antunes AA, Srougi M, et al. Pelvic arterial anatomy relevant to prostatic artery embolisation and proposal for angiographic classification. Cardiovasc Intervent Radiol. 2015;38:855–61.CrossRefGoogle Scholar
  9. 9.
    Clegg EJ. The vascular arrangements within the human prostate gland. Br J Urol. 1956;28:428–35.CrossRefGoogle Scholar
  10. 10.
    Carnevale FC, Soares GR, de Assis AM, Moreira AM, Harward SH, Cerri GG. Anatomical variants in prostate artery embolization: a pictorial essay. Cardiovasc Intervent Radiol. 2017;40(9):1321–37.CrossRefGoogle Scholar


  1. Chen JW, Shin JH, Tsao TF, Ko HG, Yoon HK, Han KC, et al. Prostatic arterial embolization for control of hematuria in patients with advanced prostate cancer. J Vasc Interv Radiol. 2017;28:295–301.CrossRefGoogle Scholar
  2. Salem R, Hairston J, Hohlastos E, Riaz A, Kallini J, Gabr A, et al. Prostate artery embolization for lower urinary tract symptoms secondary to benign prostatic hyperplasia: results from a prospective FDA-approved investigational device exemption study. Urology. 2018;120:205–10.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Mohammed M. Hoque
    • 1
  • Kent Andrew Cabatingan
    • 1
  • Sameer Mittal
    • 1
  • Andrew Picel
    • 2
  • Ari J. Isaacson
    • 3
  1. 1.Division of Vascular and Interventional Radiology, Department of RadiologyUniversity of North CarolinaChapel HillUSA
  2. 2.Department of RadiologyStanford UniversityStanfordUSA
  3. 3.Department of RadiologyUniversity of North Carolina, School of MedicineChapel HillUSA

Personalised recommendations