New Treatment Historic Marks

  • 5 patients were treated, 1 of them foreigner, from Saudi Arabia. Completing 1515 treated patients by PAE.

  • 3 patients were treated, 1 of them foreigner, from Cyprus. Completing 1510 treated patients by PAE.

     

     

  • 3 patients were treated. Completing 1507 treated patients by PAE.

  • American patient the day after embolization with almost no complaints.

    5 patients were treated, 1 of them foreigner, from EUA. Completing 1505 treated patients by PAE.

  • 4 patients were treated, 2 of them foreigners and one their with a prostate cancer, from Brasil and Peru. Completing 1500 treated patients by PAE.

     

     

    Patient in Peru after embolization treatment and recover well.

  • 4 patients were treated. Completing 1496 treated patients by PAE.

  • The two foreigners treated yesterday both report notable improvements.


  • Seven patients were treated, 2 of them foreigners, from Greece and the United Kingdom, completing 1492 patients treated for PAE. Two of the patients had prostate cancer. One of the English patients was sent by a distinguished English urologist. One of the treated patients owns the port wine cellars (Taylor’s).

  • All patients improved. Photo with 4 foreign patients.

    6 patients were treated, 5 of them foreigners and two their with cancer, from Vietnam, Mexico, South Africa and Iraq (two of them are radiologists, who attended the embolization course at St. Louis Hospital).

    Completing 1485 treated patients by PAE. Two of them had benign hyperplasia and prostate cancer.

     

  • 3 patients were treated. Completing 1479 treated patients by PAE.

  • 4 patients were treated. Completing 1476 treated patients by PAE.

  • 2 patients were treated. Completing 1472 treated patients by PAE.

  • Today I had the visit of a renowned doctor from China.

     

  • 6 patients were treated, 2 of them foreigners, from Angola and Brasil. Completing 1470 treated patients by PAE.

  • October 4

    Three patients were treated, one of them from Kuwait, completing 1464 treated patients by PAE. Within the treated patients, mention the foreign ambassador and one of the most prestigious lawyers of Lisbon.

    The Kuwait Ambassador with Prof. João Pisco 4 days after the treatment, completely recovered and without any urinary symptoms,  and Dr. Francis de Windt that has been treated 6 months ago and that is great too..

     

     

     

  • CIRSE 2018, Lisbon  – September 22-25

    1- Oral Communication

    Focus Lecture: understandup outcomes: finding the best candidate for PAE, Martins Pisco

    2 – Controversy Lession

    CTA is better then CBCT for guidance, Prof. Tiago Bilhim

    3 – Clinical Evaluation Course

    Prostate artery embolization. Imaging and treatment plan, Nuno Costa

    4 – Poster

    Repeated Prostatic arterial embolization: Refuse variable comparisson between clinical sucess and clinical faiure, Daniel Torres

     

  • 4 patients were treated, completing 1461 treated patients by PAE.

    There was present the following Interventional Radiologists to learn the technique:

    >Dr. Erique Guedes Pinto – UK

    > Dr. Keith Pereira – USA

    > Dr. Ramin Pourghorban – Iran

    > Dr. Jesus Monllor Gisbert – Espain

    > Dr. Julian Portero Navarro – Espain

    > Dr. Bernardo Rodrigues – Brazil

    Dr. Henrique Martin Salas – Brazil

  • Emilio Delgado, a respected actor, patient treated a year ago, is very well in health and without any symptoms.

     

     

  • 2 patients were treated, 2 of them foreigners, from Bolivia and EUA. Completing 1457 treated patients by PAE.

     

    The patient from Bolivia, a distinguished journalist, was in urinary retention, and catheterized for a month.

    4 hours after the Embolization Treatment, he started to urinate normally. He was the first patient with the catheter withdrawn so soon.

    Journalist from Bolívia, the day after the procedure, already without the catheter

  • 4 patients were treated. Completing 1455 treated patients by PAE.

  • 5 patients were treated, 4 of them foreigners, from Angola, Mozambique, Ivory Coast and Mexico. Completing 1451 treated patients by PAE.

  • Prof. Pisco was invited by Vip World Medical for Medical second opinion for patients worldwide.

    Dear Dr.Pisco

    I am contacting you for the medical second opinion. More and more patients are suffering from misdiagnosis, incorrect treatment, and unnecessary surgery which bring great pain and injury to patients worldwide. So  seeking authoritative opinion can help patients make the right decisions about  their  health. According to your great clinical contribution, such as “Prostate Embolization as an Alternative to Open Surgery in Patients with Large  Prostate and Moderate to Severe Lower Urinary Tract Symptoms.”, we are  delighted to invite you to provide remote medical consultation for  patients  worldwide. You can decide your own consultation fee (honorarium) based on  the types below.  The remote medical consultation is an economical and reliable way for  physicians to help patients because physicians can review patients’  records  and/or meet patients “face-to-face” (in real time) at their comfortable  offices. Tailored to meet your busy schedule, we will try to arrange the  consultations at your convenience.

  • 4 patients were treated. Completing 1446 treated patients by PAE.

  • 1 patient was treated. Completing 1442 treated patients by PAE.

  • 3 patients were treated, all from aboard, Croácia, Georgia and Angola. Completing 1441 treated patients by PAE.

     

     

    1st Croatian patient submitted to embolization of the prostatic arteries

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

  • 3 patients were treated, one from Netherlands. Completing 1438 treated patients by PAE.

    Dr. Daruis Tsatsi from South Africa and Dr. José Echverri from Colombia were watching.

    The medical team in the angiography room.

    The medical team with Mr. Viana de Abreu, the first patient treated without local anesthesia, but under psicologic anesthesia

  • 2 patients were treated. Completing 1435 tretaed patients by PAE.

  • 5 patients were treated. Completing 1433 treated patients by PAE.

     

    We have completed the last 2 of the 80 patients in the FDA approved clinical trial. This will be the great study that will come to demonstrate the effectiveness of the technique in the benign hyperplasia of the prostate and that was approved today by the FDA.

  • 6 patients were treated, 4 of them foreigners, from Thailand, Israel, Brasil and Aruba. Completing 1428 treated patients by PAE.

     

    The patient treated from thailand was very happy after the painless embolization.
    The patient has improved a lot and asked to take a picture  with the team.

    It was present the 14st team from Spain, Dr. Inigo Goicoechea Maturana, Dr. Juan Antonio Gomez Patino, Dr. Alberto Alonso Burgos and Ms. Ana Saez de Ocariz Garcia to learn the technique.

  • 7 patientes were treated, one of them from Angola and other English. Completing 1422 treated patients by PAE.

  • SIR Today March 2017

    Source: Society of Interventional

    RadiologySummary: A minimally invasive treatment that reduces urinary tract symptoms for men with enlarged prostates maintains its effectiveness for at least three years after patients undergo the therapy, according to new research. This study of 1,000 men is the largest of its kind to evaluate the long-term effectiveness of prostate artery embolization (PAE).

     

    A minimally invasive treatment that reduces urinary tract symptoms for men with enlarged prostates maintains its effectiveness for at least three years after patients undergo the therapy, according to research being presented at the Society of Interventional Radiology’s 2017 Annual Scientific Meeting today. This study of 1,000 men is the largest of its kind to evaluate the long-term effectiveness of prostate artery embolization (PAE)


    Enlarged prostate, also known as benign prostatic hyperplasia (BPH), is one of the most common prostate problems occurring in men older than 50. According to the National Institutes of Health, as many as 14 million men in the U.S. had symptoms suggestive of BPH, which can affect 50 percent of men between 51 and 60 years of age and up to 90 percent of men older than 80.

    Researchers also found that PAE, developed and performed by interventional radiologists, is especially effective in men with BPH who also have acute urinary retention or the inability to voluntarily urinate and in patients with very large prostates who are normally treated with open surgery.

    “Prostate artery embolization gives men with BPH a treatment option that is less invasive than other therapies and allows them to return to their normal lives sooner,” said João Martins Pisco, M.D., an interventional radiologist at St. Louis Hospital in Lisbon, Portugal, and the study’s lead author. “Time and time again, I see patients who are relieved to find out about PAE because they are not able to tolerate medications for BPH due to their side effects. These men also don’t want traditional surgery because it involves greater risks, has possible sexual side effects, and has a recovery time that is relatively long compared to PAE, which is generally performed under local anesthesia and on an outpatient basis.”

    Between March 2007 and March 2016, Pisco and his team performed prostate artery embolization on 1,000 men who averaged 67 years of age. All patients were evaluated in the short term (one, three, and six months), 807 patients were seen through the medium term (every six months between six months and three years), and 406 patients were evaluated long term (every year after three years).

    During each evaluation, the men’s symptoms were measured by the International Prostate Symptom Score (IPSS), which tests for the blockage of urine flow, and the International Index of Erectile Function (IIEF), which assesses erectile dysfunction. Researchers also measured the size of the prostate and the amount of urine left in the bladder after urination. They also evaluated the peak urinary flow rate and the prostate-specific antigen (PSA) level, a test used to screen for prostate cancer.

    The data from these measures revealed at the short-term mark that the treatment had an 89 percent cumulative success rate — measuring the success across all variables through the given testing period. The 807 men evaluated at the medium-term mark had an 82 percent success rate. And of the 406 patients measured at the long-term mark, 78 percent were considered cumulative successes.

    “Our results demonstrate that this minimally invasive treatment is successful in the long term and should always be presented to patients who are exploring options to resolve their BPH,” remarked Dr. Pisco.

    During PAE, an interventional radiologist makes a tiny incision in either the groin or wrist to insert a catheter (a small tube about the size of a strand of spaghetti) into an artery and, using image guidance, directs the catheter to the blood vessels on both sides of the enlarged prostate gland. Once there, the doctor uses microscopic beads to block the blood flow to specific areas of the prostate, depriving those cells of oxygen, which results in the gland’s shrinkage. In an additional analysis, researchers found that among 112 patients who also suffered acute urinary retention (AUR) before undergoing PAE, 106 or 94.6 percent had their catheter removed between two days and three months after treatment. At medium-term and long-term follow up, 95 of the 112 (84.8 percent) and 89 of the 112 (78.5 percent) did not experience any recurrence of their AUR.

    The team also performed PAE in 210 patients who had limited treatment options due to extreme enlargement of the prostate (larger than 100 cm³). Of these men, 84 percent experienced cumulative success at short-term evaluation and 76.2 percent at medium- and long-term. The normal size of a prostate is 15 cm3 to 30 cm3.

    While this research demonstrated that PAE was highly successful, Pisco noted that the treatment may not be appropriate for all patients, such as those with advanced arterial atherosclerosis that may be due to smoking or diabetes. He recommends that men speak with an interventional radiologist or other members of their care team to discuss treatment options.

    As a next step, researchers are now conducting a study comparing the effectiveness of PAE to a sham — or placebo — treatment to address any possible placebo effect that may have occurred during Pisco’s research with these 1,000 patients.

    March 8, 2017—The Society of Interventional Radiology (SIR) announced the presentation of a study demonstrating that prostatic artery embolization (PAE), which reduces urinary tract symptoms for men with benign prostatic hyperplasia (BPH), maintains its effectiveness for at least 3 years after patients undergo the therapy.

    According to SIR, the study of 1,000 men—which is the largest of its kind to evaluate the long-term effectiveness of PAE—was presented at the SIR 2017 annual scientific meeting in Washington, DC. The study investigators, led by João Martins Pisco, MD, also found that PAE is especially effective in men with BPH who also have acute urinary retention or the inability to voluntarily urinate and in patients with very large prostates who are normally treated with open surgery.

    In the SIR announcement, Dr. Pisco, who is an interventional radiologist at St. Louis Hospital in Lisbon, Portugal, stated, “Our results demonstrate that this minimally invasive treatment is successful in the long term and should always be presented to patients who are exploring options to resolve their BPH.”

    Dr. Pisco continued, “PAE gives men with BPH a treatment option that is less invasive than other therapies and allows them to return to their normal lives sooner. Time and time again, I see patients who are relieved to find out about PAE because they are not able to tolerate medications for BPH due to their side effects. These men also don’t want traditional surgery because it involves greater risks, has possible sexual side effects, and has a recovery time that is relatively long compared to PAE, which is generally performed under local anesthesia and on an outpatient basis.”

    As summarized by SIR, Dr. Pisco and colleagues performed PAE on 1,000 men between March 2007 and March 2016. Patients’ age averaged 67 years. All patients were evaluated in the short term (1, 3, and 6 months), 807 patients were seen through the medium term (every 6 months between 6 months and 3 years), and 406 patients were evaluated long term (every year after 3 years).

    During each evaluation, the men’s symptoms were measured by the International Prostate Symptom Score, which tests for the blockage of urine flow, and the International Index of Erectile Function, which assesses erectile dysfunction. Investigators also measured the size of the prostate and the amount of urine left in the bladder after urination. They also evaluated the peak urinary flow rate and the prostate-specific antigen level, a test used to screen for prostate cancer.

    The data from these measures revealed at the short-term mark that the treatment had an 89% cumulative success rate—measuring the success across all variables through the given testing period. The 807 men evaluated at the medium-term mark had an 82% success rate. And of the 406 patients measured at the long-term mark, 78% were considered cumulative successes.

    In an additional analysis, investigators found that among 112 patients who also experienced acute urinary retention (AUR) before undergoing PAE, 106 (94.6%) had their catheter removed between 2 days and 3 months after treatment. At medium-term and long-term follow-up, 95 of the 112 (84.8%) and 89 of the 112 (78.5%) did not experience any recurrence of their AUR.

    The team also performed PAE in 210 patients who had limited treatment options due to extreme enlargement of the prostate (larger than 100 cm3). Of these men, 84% experienced cumulative success at short-term evaluation and 76.2% at medium- and long-term evaluation. The normal size of a prostate is 15 cm3 to 30 cm3.

    Dr. Pisco advised that although the study demonstrated that PAE was highly successful, the treatment may not be appropriate for all patients, such as those with advanced arterial atherosclerosis that may be caused by smoking or diabetes. He also noted that investigators are now conducting a study comparing the effectiveness of PAE with a sham treatment to address any possible placebo effect that may have occurred during the study with these 1,000 patients.

    The study abstract (#1), “Short, Medium, and Long-Term Outcomes of Prostate Artery Embolization for Patients with Benign Prostatic Hyperplasia: 1,000 Patients,” can be accessed at sirmeeting.org.

    Endovascular Today

    Findings of a retrospective study including 1,000 men with follow-up ranging to 8 years demonstrate the long-term safety and efficacy of prostatic artery embolization (PAE) for relieving lower urinary tract symptoms secondary to BPH, researchers reported at the Society of Interventional Radiology annual scientific meeting in Washington.

    “This first-of-its-kind study provides clear evidence of the safety and long-term effectiveness of PAE as a treatment of BPH. We believe that these data, considered together with the benefits of PAE, support its presentation as a minimally invasive option to men seeking intervention for relief of BPH-related symptoms,” said lead author João M. Pisco, MD, PhD, professor of radiology at the New University of Lisbon, Lisbon, Portugal.

    Dr. Pisco noted that PAE can be performed under local anesthesia as an outpatient procedure. Compared with some other procedures, he said PAE is less invasive and is associated with a shorter recovery and minimal risk of sexual dysfunction.

    “Time and time again, I have seen patients who are not able to tolerate the side effects of medications for BPH but who do not want traditional surgery because of its risks, recovery period, and sexual side effects. Many of these men are grateful to learn about PAE as an alternative,” said Dr. Pisco.

    “Nevertheless, PAE may not be appropriate for all patients. In particular, it may not be technically feasible in men with advanced arterial atherosclerosis that may be related to smoking or diabetes. Patients should speak with an interventional radiologist or other members of their care team to discuss whether PAE is a viable option and learn about its risks and benefits.”

    The retrospective analysis included men who underwent PAE between March 2007 and March 2016. In a small percentage of patients (<2%), PAE could not be performed because of anatomic issues; ie, tortuosity and atherosclerotic changes of the iliac and prostatic arteries or a very angled origin of the prostatic artery.

    Follow-up evaluations were scheduled at 1, 3, and 6 months after PAE and then at 6-month intervals until 3 years. Thereafter, men returned for annual examinations. All men were available for early follow-up analyses (through 6 months), 807 men completed medium-term follow-up (6 months to 3 years), and data were available from 406 men who had long-term follow-up (>3 years).

    All parameters show significant improvement

    Mean baseline characteristics for the cohort were as follows: International Prostate Symptom Score (IPSS) 23.1, International Index of Erectile Function score 18.5, IPSS quality of life (QoL) score 4.23, prostate volume 81.4 cm3, postvoid residual urine volume (measured in men not in acute retention) 109.4 mL, peak urinary flow rate 11.2 mL/min, and PSA 5.13 ng/mL.

    All of the parameters showed statistically significant improvement after the procedure, Dr. Pisco reported.

    Cumulative clinical success rates over the short-, medium-, and long-term follow-up intervals were 89%, 82%, and 78%, respectively. To be categorized as a “clinical success,” men had to have an IPSS ≤15 with a decrease ≥25% from baseline and IPSS QoL score ≤3 or ≥1 point decrease from baseline without any need for other BPH treatment.

    Dr. Pisco also presented a subgroup analysis that focused on 112 men who were in acute urinary retention (AUR) before PAE. Almost 95% of those men had their catheter removed and could void spontaneously between 2 days and 3 months after PAE. Ninety-five men were available for medium-term follow-up, and long-term follow-up data were available for 89 men. Freedom from AUR recurrence was maintained by 85% and 78.5% of men in the medium- and long-term follow-up cohorts, respectively.

    Early-, medium-, and long-term success rates among a subgroup of 210 men who had a baseline prostate volume >100 cm3 were 84%, 76.2%, and 76.2%, respectively. About one-half of the 210 men were available for the medium- and long-term follow-up.

    Dr. Pisco reported two major PAE-related complications were encountered. They included one case of bladder wall ischemia that was managed surgically and one case of perineal pain that persisted for 3 months. Neither complication was associated with longer term sequelae.

    “This data set, in a large population with long-term follow-up, suggests both safety and efficacy,” commented Steven A. Kaplan, MD, professor of urology, Icahn School of Medicine at Mount Sinai, New York.

    “However, PAE should still be considered investigational and the reported results should be considered carefully because they represent a single center’s experience and used an arbitrary definition for success,” added Dr. Kaplan, who was not involved with the study.

    Urology Times- May 2018

  • 5 patientes were treated, one of them from Columbia. Completing 1415 treated patients by PAE.

  • 3 patients were treated, two from aboard, Mozambique and Netherland. Completing 1410 treated patients by PAE.

  • 4 patients were treated. Completing 1407 treated patiens by PAE.

  • 3 patients were treated. Completing 1403 treated patients by PAE.

  • 7 patients were treated, 4 from aboard, Austrália, Ukraine, Brazil and

    Switzerland. Completing 1400 treated patiens by PAE.
  • The UK NHS recommends PAE as standard treatment for Benign Prostatic Hyperplasia (BPH). The National Institutes of Health approves the Embolization of Prostatic Arteries (PAE) to treat BPH on 24-04-2018 in the NHS. This decision was based on the efficacy and safety of PAE in the treatment of BPH. The news was widely publiced in the media.

     

    Within the great media coverage after the approval of the PAE in the NHS of the United Kingdom only the following articles stand out:

     

    Daily Mail – Breakthrough prostate treatment which will spare tens of thousands of men invasive surgery is being rolled out on the NHS

     

    http://www.dailymail.co.uk/health/article-5653817/Breakthrough-prostate-treatment-spare-tens-thousands-men.html

     

    THE SUN – PROSTATE BREAKTHROUGH

    Groundbreaking NHS treatment will cure thousands of men’s enlarged prostates — and it’s safer than the op

    https://www.thesun.co.uk/news/6136649/new-nhs-treatment-cure-enlarged-prostate/

     

    The Times – Prostate treatment without surgery risk

    https://www.thetimes.co.uk/article/prostate-treatment-without-surgery-risk-nx3jq88np

     

    Manchester Evening News – NHS go-ahead for groundbreaking treatment that will spare thousands of men from surgery for prostate condition

    https://www.manchestereveningnews.co.uk/news/health/prostate-enlargement-new-nhs-treatment-14574068

     

    I News – A groundbreaking new NHS prostate treatment is set to roll out

    https://inews.co.uk/news/health/nhs-new-prostate-therapy/

     

     

     

  • 5 patients were treated, 1 from aboard, from New York. Completing 1393 treated patients.

  • 3 patients were treated, 1 from aboard, from Canada. Completing 1388 treated patients.

  • A patient was treated. Completing 1385 treated patients by PAE.

  • 2 patients were treated. Completing 1384 treated patients.

  • Safety and Efficacy of Prostatic Artery Chemoembolization for Prostate Cancer- Initial Experience

     

     


     

     

     

     

     

     

  • New Video Prostate Cancer

     

  • 3 patients were treated, 2 from aboard, from Morocco and Switzerland. Completing 1382 treated patients.

  •  

    3 patients were treated, one from Aruba (Orthopedic doctor), and also Prof. João Pisco had to undergo the procedure of embolization of the Prostatic Arteries. Completing 1379 treated patients.

  • Prof. Pisco with the two brothers from Cyprus, Mr. Angelos Hadjipavlis and Panayiotis Pavli, are very well and without any symptoms

  • Eight patients, 3 of whom were from Costa Rica and Cyprus, were treated with 1376 treated patients.


    Presenting Dr. Allan Bloom, Israel Radiologist, Dr. Vladimir Yutkin Urologist from Israel and Entrepreneur and President of Embolx Company, Mr. Michael Allen from US to learn the technique.

  • 6 Patients were treated, 3 of them foreigners, form Aruba (South America), Angola and Netherlands, completing 1368 patients treated, today March 8, 2018.

    The last patient (80) of the clinical trial, approved by Clinical Trials of EUA, was treated today.

    The Clinical Trial started on September 1, 2014and finished the recruitment today, March 8, 2018 was very difficult.

    Despite our efforts contacting the Association and Urology College, the Association of family physicians and personally several doctors, we dis not received any patient from these colleagues, although the study had no cost to patients.

    This is the big study that all doctors are waiting, because it will demonstrate that patients improvement because it, is effective and not by the placebo effect. Patients were selected according to criteria imposed by the Clinical Trials.

    On the day of the exam they opened an envelope, whose content they only had knowledge after 6 months.

    In the meantime they made tests at 1, 3 and 6 months. Half of the patients was right then submitted to the treatment and the rest only after 6 months, all of them was placed a catheter, however, those of the placebo group nothing was done to them, and therefore they have not improved.

    The Clinical Trial only will end in one year, because patients have to do tests periodically for 1 year

    With the publication of the results of the Study, whose recruitment and treatment ends today, there will be no doubt that the embolization of the prostatic arteries, for the treatment of benign prostatic hyperplasia, of which we are the world pioneers, is effectively sucessfull and with minimum risks, under local anesthesia and ambulatory.

    Next day, the patients from Aruba and Netherlands, Very well

  •  Four patients were treated, completing 1362.

    The embolizations were transmitted to the Pan-Arab Congress Interventional Radiology Society Annual Congress 2018 in Dubai, Where MP was to explain the different steps of the technique that was being performed by Prof. Tiago Bilhim and Dr. Daniel Torres.

    MP with the scientific committee of PAIRS 2018

    MP moderating one of the sessions in PAIRS 2018 

    MP with the remaining collaborators in the transmission of Saint Louis Hospital

     

    MP at the PAIRS Congress in Dubai. Introducing the new treatment of Prostate Cancer through the catheter

  • 3 patients were treated, 1 from aboard, New Zeeland. Completing 1358 treated patients.

     

    New Zealand patient with Prof. Pisco, on the day after the embolization treatment, is well and without symptoms

  • 5 patients were treated,  Completing 1355 treated patients.

     

    Technical team conducted a EAP transmission test for Dubai, where it will be conducted by MP on the 22nd in the PAIRS Arab League Congress

     

  • Pacient from Equador with Benign Prostatic hyperplasia treated  by Embolization

  • 4 patients were treated, 3 from aboard, Canada, Netherlands and Brazil .  Completing 1350 treated patients.

    Franklin Rijkaard , former soccer player was Embolized on February 1, 2018, the next day found himself in very good health without any symptoms.

    Franklin Rijkaard (well know ex football player and ex coach / trainer from Holand) with Prof. Pisco

  • 5 patients were treated. Completing 1346 treated patients by PAE.

    Dr. Walter Junior Boim, Intervention radiologist was learning the technique throughout the month of January.
    
    
    Email received from Dr .:
    
    I am Dr. Walter Jr. Boim de Araujo would like to thank Prof. Dr. Martins Pisco and the entire Interventional Radiology team of the Saint Louis Hospital in Lisbon; Prof. Dr. Tiago Bilhim, Dr. Nuno Costa, Dr. Nelson and Dr. Joana; as well as the technicians of Radiology Abel and Sandra and the Nurses Vitor and Lucia and other members of the support team to the procedures. That during my Fellowship in this institution in the month of January 2018 I had the opportunity to follow and participate in various procedures and always transmitted me much knowledge of excellence as well as were very attentive and friendly.
    
    I will miss you and return with a sense of accomplishment and having made many friends.
    
    Hug to everyone
    
    Dr. Walter Jr. Boim de Araujo
    
    Angiorradiology and Endovascular Surgery
    
    Curitiba - PR - Brazil
  • 2 patients were treated. Completing 1341.

  • A Brazilian patient from São Paulo was recommended by an 87-year-old friend from Rio de Janeiro who was treated at 5 years and who was perfectly well and without urinary symptoms.

  • 6 patients were treated, 2 from aboard,Ecuador and Brazil .  Completing 1339 treated patients.

    In the outpatient examination of the prostate, 4 foreigners were seen coming from Australia, Congo, Brazil and the United Kingdom, one of whom had prostate cancer.

  • 5 patients were treated. Completing 1333 treated patients.

  • 3 patients were treated, completing 1328.

  • 6 patients were treated, 3 from aboard, 1 from Netherlands, 1 from Germany and other from Saudi Arabia.  Completing 1325 treated patients.

    owner of a real estate company on Netherlands

  • “My Brother Shaul forwarded this E mail to me ,over all there is an improvement but we understand that

    the full success takes time as it is a process to reduce the prostate size,and may take a couple of month Shaul reports an improvement.

    he is having full control and does not have to go urgently, also the number of times he goes at night are reduced.

    about me I can tell also an improvement and I also have a full control ,but it changes some nights were better than others,

    again I expect more improvement over time .so over all I guess I need more time to see a full recovery,

    I definitely would like you to explore the health spa options for me as I will come back for treatment with Dr Manuel Ribeiro.”

  • 1 patient was treated. Completing 1319 treated patients.

  • 3 patients were treated.  Completing 1318 treated patients.

  • Photo of the two brothers from Canada in the next morning, already without the severe symptoms they had before.

  • November 23

    7 patients were treated, 3 from aboard, 2 from Canada and one from Angola.  Completing 1315 treated patients.

    The patients from Canada were brothers and they were sent by Dr. Hagek, urologist from Toronto, who told them that our team at St. Louis Hospital is the best in the world doing Prostatic Artery Embolization (PAE), and that nobody else could treat them better than we do.

    The email that  2 brothers send to us :

    Hello .Attention Dr Martins Pisco.

    Dear Sir , my name is Arie goldenberg  my Brother name is Shaul Goldenberg we are interested to book an Appointment with you to do the prostate Artery Embolization procedure, we both suffer from an enlarge prostate mine is about 70cc and Shaul is about 100cc. attached are the questionnaires filled out  with more information about our condition ,you were highly recommended by  our urologist Dr Hagek from Toronto, he said that  you are the best in the world doing this we looked at your web site read some of the reviews and were impressed.  ,so we want to book the appointment as soon as possible.we are ready to come on a short notice .pls inform us with all the details,   my name is Arie Goldenberg I am 61 years of age, my Brother Shaul Goldenberg  is 70 years of age. we live in Toronto Ontario Canada ,      looking forward to your response  .

  • We have completed 3000 consultations of patients with prostate disorders.

  • 6 patients were treated, one from Nigeria.  Completing 1308.

    Dr. Jan Szcvepanfski from Poland was present to learn the technique.

  • Dear Dr. Pisco,

    Approaching the 6 month mark I continue enjoy the benefits of the PAE procedure. While I do not feel like I am 18 anymore I do feel like was tremendous success and no longer stress about the next bathroom visit.

    Thanks again,

    J.M.D. 2017

  • 3 patients were treated. Completing 1302.

  • 3 patients were treated, one from Canada. Completing 1299.

  • 5 patients were treated, completing 1296.

  • October 19

    1 patient were treated,  from Ireland.  Completing 1292.

  • Five patient was treated, one from Sweden, completing 1291.


     

     

     

     

     

     

     

     

     

     

     

     

     

    Prof. João Pisco with the foreign patient (director of telecommunications at Ericsson)


     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Prof. João Pisco and Maria Clara Pinto  (Hospital Director) with the foreign patient (director of telecommunications at Ericsson)

     

     

  • Two patients were treated, completing 1286.

  •                                       Photo with Sandeep Bagla during CIRSE

     

  • One patient was treated, completing 1284.

    CIRSE 2017- 16 TO 20 SEPTEMBER 2017, COPENHAGEN

     

     MP- Moderou as seguintes sessões de comunicação livres:

     

    • Embolotherapy

    • IR in gynaecology

     

     

    MP- Moderou a sessão de Hot Topics that was completely full:

     

    • Prostate Artery embolisation: ready for prime time?

    • Current Evidence

    • Technique

    • Patient selection: wich are the most suitable patients

    • Challenges and obstacles 

       

       

       

     

     

    P-412 New treatment for prostate cancer: prostatic artery chemoembolization

    J.M. Pisco, T. Bilhim, P. Ribeiro, A. Brigas, L. Fernandes, N.V. Costa, A.G. Oliveira;

    Lisbon/PT, Benfica/PT, Algarve/PT, Caicó/BR

    MP apresentou a comunicação livre:

    “The 6-month- 7.5 year Outcome of Prostatic Artery embolisation in 1100 patients with benign Hyperplasia”

    Purpose – To evaluate the short, mid and long term outcome of prostatic artery embolization (PAE) for patients with benign prostatic hyperplasia (BPH).

    Materials – Between March 2009 and September 2016,   1100 patients with BPH underwent PAE. One hundred eighteen patients were in acute urinary retention (AUR) and 221 patients had a prostate volume over 100cm3. All patients were evaluated up to 5 months, 982 patients at mid term between 1 and 3 years and 600 patients at long term between 3  and 7.5 years.

    Results – Mean patient age was 68.7 years. There were 18 (1.6%) technical failures. The cumulative clinical success rates at short, mid and long term follow up were 90%, 84.1% and 79.2% respectively. The results of the 118 patients in AUR, were: 110 (93.2%) had the catheter removed between 2 days and 3 months; 106 (89.8%) and 99 (83.9%) have good results at mid and long term, respectively. The results of the 220 patients with prostate volume larger than 100cc were: 190 (86.4%) with short term clinical success, 178 (80.9%) and 171 (77.7%), respectively, at mid and long term clinical success. There were 2 major complications, a bladder wall ischemia and a perineal pain for 3 months,

    Conclusions – PAE is a safe procedure for patients with BPH with good short, mid and long term results.

    Tiago Billim apresentou a comunicação livre sobre Adenomise

  • Two patients were treated, completing 1283.

  • MP gave a conference about embolization associated with acupuncture in uterus and prostate diseases. IV- International Congress of Integrative Medicine, Lisbon.

    Professor Tiago Bilhim of medical team of Interventional Radiology of Prostatic Embolization became a member of Editorial Board of the Cardiovascular International Radiology journal.

  •  

    Nikolaos Kanellopoulos, Professor, Computer Systems & Applications Audiovisual Arts Department from Greece, was treated.

  • Two patients were treated, one foreigner from Greece, completing 1281.

  • ABSTRACT OF THE YEAR

     

    The oral communication results of Prostate Artery Embolization (PAE) at short, medium and long term in 1000 patients was considered the best at SIR meeting in Washington DC, presented in March 14, 2017.

    PROFESSOR  PISCO DSTINGUISHED IN WASHINGTON DC

     

    Dr. João Martins Pisco was distinguished by the best cientific paper published in 2016 in JUIR- Medium and long term results of Prostate Artery Embolization in 630 patient, during SIR meeting in March 13, 2017.

  • Five patients were treated, two foreigners from Mozambique and UK, completing 1279.

    Dr Eric Ursic, international radiologist for USA (Orlando), was present to get training on PAE.

  • Six patients were treated, 2 of them foreigners  from France and Brasil, completing 1274.

  • Three  patients were treated, all  foreigners  from USA, Syria and Macau, completing 1268.

  • Seven patients were treated, 1 foreigner from Canada, completing 1265.

  • Three patients were treated, 1 foreigner from USA, completing 1258.

  • Five patients were treated, 1 foreigner from Brasil  completing 1255.

  • Seven patients were treated, 5 foreigners, Australia, Bahrain, Tunisia and UK, completing 1250.

  • Professor Tiago Bilhim from our medical team became associated new editor of JVIR.

     

    Two patients were treated, 1 of them foreign, from Morocco. Completing 1243.

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    5 patients were treated, all from aboard. From Canada, Ireland, Mexico, UK and France, completing 1241.

    The patient from Canada had a PAE in his country without success and he has told that PAE would be impossible in any part of the world, including Portugal. However all patients were successfully treated and all mentioned a great improvement of urinary symptoms 2 hours after PAE.

    One of the treated patients was an international civil servant  of ONU and UNESCO, and lastly he worked in international agency of atomic energy (IAAE).

    The photo of a nice couple whose husband was treated.

  • MP presented in XY SERVEI CONGRESS in Vitorie, Spain the following lecture:

    Prostatic Artery Embolization (PAE) of Benign Prostatic Hyperplasia (BPH) – up to date results.

     

    IV CONGRESO DE LA SERVEI

  • Four patients were treated, one from Spain, completing 1236 patients.

  • Gest 2017

    • PAE is ready for wide – spread Clinical adoption – João Pisco, Tiago Bilhim
    • Coplax UFE – João Pisco, Tiago Bilhim
    • Prostatic Artery Anatomy – Tiago Bilhim
    • PAE for Prostate Cancer – Early experience – Tiago Bilhim
  • Four patients were treated, 3 of them of different countries: Arab Emirates, Nigeria and Canada, summarizing 1232 patients.

  • 3 patients were treated, one of them from USA, the distinguished American film, television and stage actor Emilio Delgado. Completing 1228.

     

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    5 patients were treated, 2 of them were foreigners from USA and Brazil. Completing 1225.

    Dr. Charles Weber from USA was present to learn the technique.

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    Three patients were treated, one of them from Switzerland . Completing 1220.

    Dr. Charles Weber from USA was present to learn the technique.

     

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    Five patients were treated, one of them from China . Completing 1217.

  • Five patients were treated, one of them from Czechoslovakia . Completing 1212.

    Five patients were treated, one of them from UK. Completing 1207.

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    Seven patients were treated, one of them from Venezuela. Completing 1202.

    Dr. Marcelo Guimaraes from USA was present to learn the technique.

     

    The XX Portuguese Post graduate Course of Chest and Interventional Radiology was performed on ESTESL.

  • March 30

    5 patients were treated,3 of them were foreigners from Qatar, Mexico and Spain. Completing 1195.

    Dr. Matthew Quirk from USA ,  Intervention  Radiologist was watching.

     

  • Four patients were treated. Completing 1190.

  • SIR 2017

     

    Washington, March 4 – 8

     

    • Tiago Bilhim received an award as reviewer of JVIR papers in 2016

    • Martins Pisco received an ward by the paper “Medium and Long Term Results of PAE in 630 Cases”, published in JVIR in 2016 and was considered one of the best publications. It is the 2nd time that he. received such a distinction.
    • The presented paper: “Short, Medium and Long Term outcome of prostate artery embolization for patients with benign prostatic artery embolization: 1000 patients” was the best amongst 1354 and for this reason was considered the “Abstract of the year and numbered as Nº 1 and Classified as distinguished Abstract”
    • Due to the impact of the above paper M. D., was invited, by the 3rd time in 6 years, for a press conference on prostate embolization, at SIR meeting.
    • Besides the paper above mentioned MP presented another paper of “Prostate arterial chemoembolization for prostate cancer”.

     

     

    MP – Presenting the best free Communication of the Congress

     

     

    ABSTRACT OF THE YEAR

    Short, Medium and Long Term Outcome of Prostate Artery Embolization for Patients with Benign Prostatic Hyperplasia: 1000 Patients

    J Pisco1, T Bilhim1, M Ribeiro1, L Fernandes2, N Costa3, A Oliveira1

    Considered the Best Abstract of SIR 2017

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    MP was invited for a PRESS Conference about PAE in US by the 3rd time.

    Dear Dr. Pisco and abstract co-authors,

    Congratulations … on behalf of Society of Interventional Radiology Communications Adviser Robert Vogelzang, M.D., FSIR and Annual Scientific Meeting Science Program Chair Daniel Sze, M.D., FSIR, it is my pleasure to inform you that your SIR Annual Scientific Meeting abstract, “Short, Medium and Long – Term Outcome of Prostate Artery Embolization for Patients with Benign Prostatic Hyperplasia: 1000 Patients,” has been selected initially as newsworthy, and SIR would like to use the information from your abstract in an SIR consumer press release and other press activities during SIR 2017 in Washington, D.C.

    Possible Participation in an SIR teleconference, interviews onsite in Washington, D.C., press queries

    In addition, you may be asked to participate in SIR’s pre-meeting teleconference. Teleconference participants will be asked to make a brief statement about their research and its benefit to patients and then take questions from reporters who have logged into the conference. More details on this will be forthcoming.

     

  • Three patients were treated. One from Italy, completing 1186.

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    Three important Scientists from Philips were present to observ by the 1st time the images of perfusion angiography, Thiru Kanagasabapathi, Walter Carels, Romain Pirson .

    Six patients were treated, one from Italy and other from Timor, , completing 1183.

     

    From left to right:

    Walter Carels (Senior Clinical Marketing Specialist)

    Thiru Kanagasabapathi (Senior Product Management in Interventional Clinical Solutions)

    Prof. João Martins Pisco

    Romain Pirson (Image Guided Therapy System Designer)

     

  • Three patientes were treated, one fom Susi Arabia, whose brother a phicisiabn was treated 3 years ago, completing 1177.

  • Four patients was treated, two at the foreigners , Belgium and US, completing 1174.

    It was performed by the 1st time in the world, perfusion studies during PAE.

    See the corresponding images from 3 patients.

     

     

     

     

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    Three patients were treated, one form Iraq, completing 1170.

  • Three patients were treated, two from aboard (Kenya) and Germany , completing 1167.

  • Three  patients were treated, one from the USA and other Liechtenstein, completing 1164.

    The doctor Keith Pereira was again watching  the technic.

  • Seven patients were treated, one from the Sweden, completing 1161.

    The doctor Keith Pereira from St. Louis Hospital EUA was present to learn the technic .

    IMG_7547

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    Five patients were treated, 2 of them foreigners, Australia and Tanzania, completing 1154.

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    Four patients were treated, one from Brazil  and another from Cape Verde,, completing 1149

  • There patients were treated, completing 1145

  • Eight patients were treated one from Scotland, completing 1142.

    It was present Dr. Hicham Abada from Clevant Clinic.

    img_7540

  • November 24

    6 patients were treated,  2 from abroad (France and Panamá) completing 1134.

     

    November 17

    3 patients were treated,  completing 1128.

  • November 10

    Four patients were treated,  completing 1125.

  • Five patients were treated, 3 from abroad (France, Ireland and Mozambique) completing 1121

  • October 27

    3 patients were treated, completing 1116.

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    October 20

    8 patients were treated,2 were foreign (canada and Mozambique) completing 1113.

  • 3 patients were treated, completing 1105

  • MP gave a lecture on PAE in BPH at 12th International Congress of the European Union Geriatric Medicine Society

    cci11102016

  • 3 patients were treated, one from Angola,completing 1.102

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  • 7 patients were treated, completing 1.099

  • MP was moderator of a Round table on prostatic embolization in CIRSE meeting. Barcelona.

    Four patients were treated,  completing 1092 PAEs.

    Prostatic arteries in the new equipment (Cone Beam CT)

    diapositivo1 diapositivo2 diapositivo3 diapositivo4 diapositivo5

    MP was a guest speaker it European Association of Uroginecologie Radiology in Bordeaux, gave a lecture on BPH embolization.

  • Eight patients were treated, 3 foreigners from Angola, Mozambique and Qatar, completing 1088

  • Five patients were treated, one from UK, completing 1080 PAEs.

  • The new Angio room with Cone Bean CT started to work.

    Four patients were treated, one of them from Brazil, completing 1075 patients

    img_20160901_073655 img_20160901_073701

  • Five patients were treated, completing 1071 patients

    Closed activity intervention for installation of new equipment . Reopens on 5 September .

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    The Interventional team, celebrating the last day of working with the old equipment.

  • Six patients were treated 3 from abroad, 2 from United Arabic Emirates and 1 from Mozambique, completing 1066 patients.

    EAP 1061 – A. S.

  • 6-Prof.Pisco&Wolde2

    PAE 1056  from Ethiopia, next morning to PAE

    Truly, I remain very grateful to you in the rest of my entire life as I have no enough words to express my gratitude and pleasure. The PAE treatment procedure was done yesterday and today I am feeling fully well and working normal without any exaggeration. Unbelievable and simply amazing. Your are gifted with and blessed to do good to others. I am among those lucky ones!

     

    Six patients were treated, two foreigners one from  Ethiopia and another from Canada completing 1060 patients treated.

     

     

  • Seven patients were treated, one of them Brazilian, completing 1054.

  • Four patients were treated, 1 of them foreigner (Macedonia) completing 1047 PAE

  • Seven patients were treated, 2 from abroad (Norway and Brazil) completing 1043, the 95th medical team was present from Armenia, DR.  Sargis Abovyan (Urologist)  and DR. Arsen Tsaturyan (Radiologist)

    IMG_7507

  • MP gave a lecture on PAE at Faculty of Medicine, Curse of Preventive Medicine

    5 patients were treated, completing 1036

  • 8 patients were treated, 2 for aboard (Scotland and US) completing 1031

  • Seven patients were treated, 1 of them foreigner (USA) completing 1023 PAE.

  • Three patients were treated, 2 of then physicians from abroad (Mozambique and Saudi Arabia)

    IMG_7499

     

    PAE 13, treated 7 years ago, now 88 years old, without urinary symptoms

  • Five patients were treated completing 1013.

  • Five patients were treated, 2 of them foreigners (Indonesia and Italy) completing 1008 PAE.

    14-04-2016

    MP and the treated patient from Indonesia

  • Presented at SIR 2016 in Vancouver “Good long lasting results may predict PAE as the  golden standard treatment for BPH”

    Good long lasting results may predict PAE as the standard treatment for BPH-page-001

  • 3 Patients were treated, completing 1.000 PAE. The Pisco Prostate Catheter was used by the 1st time.

    IMG_7486

    IMG_7487

    IMG_7494

    IMG_1304

    IMG_1296

    IMG_1298

  • Six patients were treated, 2 of them were physicians, one was a distinguished general surgeon 80 years old, from London, sent by an Urologist. Completing 999 patients.

  • Four patients were treated, completing 993

  • Seven patients were treated 3 from abroad from France, Switzerland and Quenia, completing 989.

  • Four patients were treated, completing 982.

  • Seven patients were treated completing 978. A 2nd medical team of Interventional Radiologist from Switzerland was present, Dr Marc Schindewolf, Dr Torsten Fuss and Dr Maka Vostretsova.

    IMG_7477

    Two patients were treated one of them journalist from French TV.

  • Professor Fei Sun visited one department. He is a distinguished investigator, coordinator of the best experimental interventional department in the world.

    sdr

  • MP as faculty guest present one communication – Prostate Embolization and moderator of a session about Embolization on LINC 2016 Course in Leipzig.

    IMG_7469

  • Five patients were treated, 3 from abroad Angola, Israel and Mozambique, completing 969.

  • Five patients were treated, 2 foreigners (Canada and UK), completing 964

  • Seven patients were treated, one from US, completing 959 patients.

  • Six patients were treated, one of them foreigner from Gana, completing 952.

  • Four patients were treated, completing 946 patients.

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    6 patients were treated, 3 of them from aboard (Austria, Egypt and Italy), completing 942 patients.

    The 90th medical team of foreign doctors was present, Dr. Wilhelm Kersjes from Germany, Dr. Albdulkader Alkenawi from Saudi Arabia and Prof. Frank Pilleul, Dr. Pierre Fougier, Dr. Bachir Hag e Dr. Eric Bonnard from France.

    IMG_7453

  • Six patients were treated, completing 936. A medical team from Peru was present; Dr. Gustavo Cesar Araújo, International Radiologist and Professor Luis Zegana Montes – Urologist.

    IMG_7450

     

     

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    Seven patients were treated, completing 930 patients already treated.

  • October 29

    Eight patients were treated, 2 from aboard, one french physician and an Australian, completing 923 patients already treated.

    The 87th medical team was present with the physicians, Dr. Pedi Jakob (German), Dr. Christian Luft and Dr. Leo Pallwein-Prettner from Austria. They are interventional radiologists who are sent by urologists in order to learn PAE.

    (more…)

  • September 22 – Seven patients were treated, one of them from US, completing 915 patients already treated.

  • Eight patients were treated, 2 of them were in acute urinary retention, with bladder cateter, one of them was foreigner, from Cuba, completing 908 treated patients.

  • Seven patients were treated, 4 from the trial and a foreigner from New Zeland, completing 900 cases. Two physicians were present Dr. Andrew Lawson from South Africa and Erivaldo Nascimento from Brasil.

    IMG_7437

    MP and Drs Andrew Lawson and Erivaldo Nascimento

    IMG_1205