Interventional vascular, Genital / Reproductive system female, Vascular, CT, CT-Angiography, MR, Embolisation, Arterial access, Puncture, Hyperplasia / Hypertrophy, Dysplasias, Education and training
A. Paladini1, D. Beomonte Zobel2, E. M. Amodeo1, G. E. Vallati1, G. Pizzi1; 1Rome/IT, 2Roma/IT
Findings and procedure details
Normal 0 14 false false false IT JA X-NONE
First of all,
the interventional radiologist should performe selective arteriography of internal iliac artery bilaterally,
through use of 5F catheters,
in order to evaluate pelvis vascular anatomy.
Then he should proceed 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 should proceed to embolic material injection:
- particles of polyvinyl alcohol (PVA)
- calibrated microparticles of increasing size from 200 to 900 micron
The impact of uterine artery embolization (UAE) for the purpose of diminishing the effect of uterine fibroids on fertility is still unclear.