The purpose of this posterconsisted of explainingthe interventional radiologist point of view onuterine fibroids embolization.
Uterine fibroidscause heavy prolonged bleeding,
pressure symptoms and subfertility.
The traditional method of treatment has been surgery as medical therapies have not proven effective.Uterinearteryembolizationhas been reported to be an effective and safe alternative to treatfibroidsin women not desiring future fertility.
Endovascularembolization could bean alternative treatment to hysterectomy and myomectomy.
Thanks to an accurate selection of Patients and through clinical and instrumental controls,
endovascularembolization has a goodclinical efficacy of short,...
Uterine arteries embolization is a well tolerated procedure,
safe and highly effective in the treatment uterine fibroids.
Fibroids embolization is normally associated with collateral effects occurrencesuch aspelvic pain,
(intensity is variable: usually severe immediately after embolization),
fever(>38 ° C),
nausea and vomiting.
Findings and procedure details
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First of all,
the interventional radiologist should performeselective arteriography ofinternal iliac artery bilaterally,
through use of 5F catheters,
in order to evaluatepelvis vascular anatomy.
Then he shouldproceed to superselective catheterization of uterine arteries bilaterally,
using a coaxial microcatheter.
After positioning the tip of the microcatheter in the distal part of uterine artery he shouldproceed to embolic materialinjection:
particles of polyvinyl alcohol (PVA)
calibrated microparticles of increasing size from 200 to 900 micron
The impact ofuterinearteryembolization(UAE) for...
For the vast majority of women affected bysymptomatic uterine fibroids,
endovascular embolizationis an excellent alternative to traditional surgical therapy.
Uterinearteryembolizationhas gained an important roleas a safe and effective treatment modality for symptomaticfibroidssince its introduction nearly two decades ago.
Walker WJ and Pelage JP.
Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow-up.
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Pron G et al.
The Ontario Uterine Fibroid Embolization Trial.
Uterine fibroid reduction and symptom relief after uterine artery embolization for fibroids.
Fertil Steril 2003b; 79:120-127.
Spies JB et al.
The FIBROID Registry: symptom and quality-of-life status 1 year after therapy.
Obstet Gynecol 2005a; 106: 1309-1318.
Badawy SZ et al.
Uterine artery embolization: the role in obstetrics...