{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:57:13Z","timestamp":1791413833405,"version":"4.3.3"},"reference-count":64,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die Prostataarterienembolisation (PAE) hat sich in den vergangenen Jahren als\n      minimalinvasive Option zur Behandlung der benignen Prostatahyperplasie (BPH) etabliert. Ziel\n      dieser \u00dcbersichtsarbeit ist eine zusammenh\u00e4ngende Darstellung der technischen Grundlagen, der\n      Patientenselektion, der klinischen Wirksamkeit, der Sicherheit, der gesundheits\u00f6konomischen\n      Aspekte und der Leitlinienempfehlungen. Prospektive Studien und Metaanalysen zeigen eine\n      signifikante Reduktion von Lower Urinary Tract Symtoms (LUTS), eine Verbesserung der\n      Lebensqualit\u00e4t und eine relevante Volumenreduktion der Prostata. Im Vergleich zu TUR-P und\n      HoLEP ist die Steigerung des maximalen Harnflusses moderater, w\u00e4hrend periinterventionelle\n      Risiken geringer ausfallen und der Erhalt der antegraden Ejakulation h\u00e4ufiger gelingt. Die\n      Reinterventionsrate ist im mittleren Verlauf h\u00f6her, was bei der Beratung ber\u00fccksichtigt werden\n      sollte. F\u00fcr Patienten mit gro\u00dfem Dr\u00fcsenvolumen, relevanter Komorbidit\u00e4t oder unter\n      Antikoagulation stellt die PAE eine attraktive, organerhaltende Alternative dar. Technisch\n      kommen nicht-resorbierbare Partikel (100\u2013500 \u00b5m) sowie \u2013 in selektierten Zentren \u2013 fl\u00fcssige\n      Embolisate zum Einsatz; letztere (z.B. Glubran) erweitern das Spektrum, bed\u00fcrfen jedoch\n      weiterer klinischer Evaluation. Die Durchf\u00fchrung in erfahrenen Zentren mit\n      Cone-Beam-CT-gest\u00fctzter Navigation (CBCT), standardisierten Protokollen und interdisziplin\u00e4rer\n      Entscheidungsfindung reduziert die Risiken und verbessert die Ergebnisse. Insgesamt erg\u00e4nzt\n      die PAE das therapeutische Arsenal der Behandlung der BPH sinnvoll; der k\u00fcnftige Stellenwert\n      h\u00e4ngt von belastbaren Langzeitdaten, standardisierter Technik und der pr\u00e4ziseren\n      Positionierung in Leitlinien ab.<\/jats:p>","DOI":"10.1055\/a-2787-4392","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:39:14Z","timestamp":1771375154000},"page":"161-171","source":"Crossref","is-referenced-by-count":1,"title":["Aktueller Stand der Prostataarterienembolisation (PAE) zur Behandlung der benignen Prostatahyperplasie (BPH)"],"prefix":"10.1055","volume":"57","author":[{"given":"Christian R.","family":"Habermann","sequence":"additional","affiliation":[{"name":"Institute of diagnostic and interventional Radiology, Marienkrankenhaus, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nando","family":"Mertineit","sequence":"additional","affiliation":[{"name":"Institute of diagnostic and interventional Radiology, Marienkrankenhaus, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1016\/j.ucl.2016.04.001","article-title":"The Epidemiology of Benign Prostatic Hyperplasia Associated with Lower Urinary Tract Symptoms: Prevalence and Incident Rates","volume":"43","author":"KB Egan","year":"2016","journal-title":"Urol Clin North Am"},{"key":"ref2","volume-title":"S2e-Leitlinie: Diagnostik und Therapie des benignen Prostatasyndroms (BPS)","author":"Deutsche Gesellschaft f\u00fcr Urologie (DGU)","year":"2023"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1007\/s00120-025-02560-2","article-title":"Benign prostate syndrome","volume":"64","author":"T Bschleipfer","year":"2025","journal-title":"Urologie"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1016\/j.euf.2024.03.001","article-title":"Prostatic Artery Embolisation Versus Transurethral Resection of the Prostate for Benign Prostatic Obstruction: 5-year Outcomes of a Randomised, Open-label, Noninferiority Trial","volume":"10","author":"G M\u00fcllhaupt","year":"2024","journal-title":"Eur Urol Focus"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1091","DOI":"10.1016\/j.euf.2018.09.005","article-title":"Prostatic Artery Embolization versus Standard Surgical Treatment for Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia: A Systematic Review and Meta-analysis","volume":"5","author":"V Zumstein","year":"2019","journal-title":"Eur Urol Focus"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1430","DOI":"10.1007\/s00270-014-0982-2","article-title":"Pitfalls of cone beam computed tomography in prostate artery embolization","volume":"37","author":"S Bagla","year":"2014","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/j.carj.2017.11.003","article-title":"Rare Prostatic Artery Origins and the Importance of Collateral Circulation in Prostate Artery Embolization: A Pictorial Essay","volume":"69","author":"S Bhatia","year":"2018","journal-title":"Can Assoc Radiol J"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1595","DOI":"10.1016\/j.jvir.2013.06.003","article-title":"Does polyvinyl alcohol particle size change the outcome of prostatic arterial embolization for benign prostatic hyperplasia? 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