Keywords:
Interventional vascular, Genital / Reproductive system female, Ultrasound, MR, Embolisation, Arterial access, Image verification
Authors:
A. B. A. B. CASTRO GARCIA1, M. Teixidor Viñas2, J. Guitart 3, A. Alguersuari Cabiscol4, E. Criado Paredes1, F. Bosch Barragan5; 1BARCELONA/ES, 2Girona/ES, 3Barcelona, Barcelona/ES, 4Sabadell/ES, 5Sant Feliu de Llobregat/ES
DOI:
10.1594/ecr2018/C-2750
Methods and materials
Between 2004 And 2007,
39 patients with symptomatic uterine transmural myomas were treated with UAE in our department.
All of them were enrolled in a comparative prospective study to evaluate the diagnostic power of c-US scan vs c-MRI scan in order to evaluate patients follow up.
(figure 1)
UAE was always performed at the interventional radiology suite.
Both uterine arteries were successfully catheterized and embolised with particles in all cases.
No ovarian artery embolisation was performed during the first procedure attempt.
All patients were admitted for 24-48 hours post- procedure to evaluate and treat probable post procedure pain.
Clinical and analytical (HB,
FSH and LH) follow up at the gynecology and interventional radiology service were also performed at 6-12-24 months post UAE.
Patient’s type of symptoms referred,
c-US and c-MRI pre and post procedure findings,
immediate or late complications,
improvement of the symptoms post treatment,
need of second embolisation,
need of second hospital admission,
hysterectomy required and analytic data were collected.