Keywords:
Interventional non-vascular, Genital / Reproductive system female, Pelvis, Fluoroscopy, MR, Ultrasound, Embolisation
Authors:
M. C. Calcagno, C. Gozzo, A. Boncoraglio, A. Motta, G. Caltabiano, P. V. Foti, S. Palmucci, A. Basile; Catania/IT
DOI:
10.1594/ecr2018/C-0729
Methods and materials
Between January and September 2017 thirty consecutive patients (age range 28-47,average 32 years)
undergoing UAE were enrolled for transferal (group a) and transaradial approach (group b).
The indication for treatment was based on clinical conditions,
gynecological examination with ultrasound and pelvic magnetic resonance examination.
A microcatheter was advanced,
into the horizontal portion of the uterine artery.
Arterial embolization was performed using embosphere particles.
No other embolic agents (embolic coils) were added in any cases.
The angiographic endpoint of embolization was defined as stasis of the flow in the ascending portion of the uterine artery,
with visualization of the contrast material for at least five heart beats on fluoroscopy.
A Barbeau test was required before radial artery puncture; a response type A,
B,
or C suggest ulnopalmar arch patency (15); a Barbeau type D response was considered a controindication to transradial approach (16).
Following transradial UAE a transradial band was placed on the wirst over the arteriotomy site.
No major or minor complications were encountered during UAE.
After procedure,
patients were transported in the recovery room and questioned about the quality of life and pain feeling using the Quality of life questionaire at 24 hours and VAS score rating system at 6,
12,
18 and 24 hours.
In addition,
patients undergone to transradial access were asked to give their opinion on how much the possibility of benting the legs influenced pain relief.