scholarly journals Transradial Embolization, an Underused Type of Uterine Artery Embolization Approach: A Systematic Review

Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 83
Author(s):  
Loredana Maria Himiniuc ◽  
Mara Murarasu ◽  
Bogdan Toma ◽  
Razvan Popovici ◽  
Ana-Maria Grigore ◽  
...  
Keyword(s):  
Systematic Review ◽  
Learning Curve ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Cochrane Library ◽  
Artery Embolization ◽  
Transfemoral Approach ◽  
Uterine Arteries ◽  
Hospitalization Period ◽  
Comparable Method

Background and Objectives: The most utilized approach for the embolization of uterine arteries is the transfemoral path. However, the transradial approach (TRA) has been gaining popularity among cardiologic interventions in the last years but only few studies have shown its applicability in uterine myoma treatment. The objective of this paper is to assess the feasibility, safety and efficacy of TRA when compared with the transbrachial, transulnar or transfemoral approach (TFA) for uterine arteries embolization (UAE). Materials and methods: A systematic review of the literature that analyzes the TRA for UAE it was carried out, in order to assess its safety and effectiveness. It was systematically searched the literature (Google Scholar, PubMed/MEDLINE, Cochrane Library and Embase) using the words “uterine artery embolization”/“uterine embolization” and “transradial”/“radial”. All the relevant papers published until March 2020 were retrieved and analyzed. Results: Ten studies were considered eligible for this topic. TRA is a comparable method with TFA for uterine artery embolization. Conclusions: These studies allowed us to conclude that TRA is as safe and efficient as TFA. Its advantages include few complications, shorter hospitalization period, and rapid mobilization but a steeper learning curve has the disadvantage of a longer learning curve compared to TFA. Yet, these findings are built on few reports and more research is needed.

Structural changes in uterine tissues after uterine artery embolization in patients with leiomyoma complicated by uterine bleeding

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (1) ◽  
pp. 78-82
Author(s):  
G P Titova ◽  
M M Damirov ◽  
L S Kokov ◽  
O N Oleynikova ◽  
G E Belozerov
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Structural Changes ◽  
Morphological Changes ◽  
Uterine Bleeding ◽  
Small Scale ◽  
Artery Embolization ◽  
Vessel Occlusion ◽  
Uterine Arteries ◽  
Uterine Tumors

Uterine leiomyoma (UL) is often complicated by the development of uterine bleeding. In urgent gynecology for the implementation of endovascular hemostasis, uterine artery embolization (UAE) is used. Performing UAE allows to stop and/or significantly reduce the intensity of bleeding and prepare a patient for surgical intervention. At the same time, the morphological changes that occur in uterine tissues in operated UL patients after performing the UAE are not studied. The aim was to study the peculiarities of pathomorphological changes in uterine tumors and tissues in operated UL patients complicated by uterine bleeding after performing UAE. Material and methods. The results of morphological changes appearing in tumors and tissues of the uterus in 39 operated UL patients, who were used for stopping uterine bleeding, were analyzed. Results. After applying different types of embolizing agents in macroscopic study of the uterus, signs of ischemia of its tissues were revealed, and the most pronounced disorders were detected in the UL nodes. Morphologically it was established that UAE microemboli resulted in vessel occlusion with increasing thrombosis in their distal sections. UAE was not accompanied by occlusal occlusion of the arteries and resulted in small-scale necrosis of the tumor with complete regeneration of the endometrium. Conclusions. The results of the morphological study showed that after the UAE was performed, the myomatous nodes underwent dystrophic, necrobiotic and necrotic changes. Depending on the nature of occlusion of the uterine arteries, various variants of necrosis (scale and completeness of the process) developed in the tumor tissue, which was aseptic in nature.

scholarly journals The impact of uterine artery embolization on ovarian reserve: A systematic review and meta‐analysis

2019 ◽  
Vol 99 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Tarek El Shamy ◽  
Saad A. K. Amer ◽  
Ahmed A. Mohamed ◽  
Cathryn James ◽  
Kannamannadiar Jayaprakasan
Keyword(s):  
Systematic Review ◽  
Ovarian Reserve ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Meta Analysis ◽  
Artery Embolization ◽  
The Impact

Uterine Artery Embolization for the Treatment of Adenomyosis: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 28 (12) ◽  
pp. 1629-1642.e1 ◽  
Author(s):  
Annefleur M. de Bruijn ◽  
Marieke Smink ◽  
Paul N.M. Lohle ◽  
Judith A.F. Huirne ◽  
Jos W.R. Twisk ◽  
...  
Keyword(s):  
Systematic Review ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Meta Analysis ◽  
Artery Embolization

scholarly journals Successful repeated uterine artery embolization in postpartum hemorrhage with disseminated intravascular coagulation: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shunya Sugai ◽  
Taro Nonaka ◽  
Kana Tamegai ◽  
Tatsuhiko Sato ◽  
Kazufumi Haino ◽  
...  
Keyword(s):  
Risk Factor ◽  
Disseminated Intravascular Coagulation ◽  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Placenta Previa ◽  
Blood Transfusions ◽  
Artery Embolization ◽  
Intravascular Coagulation ◽  
Uterine Arteries

Abstract Background Postpartum hemorrhage (PPH) is a potentially fatal condition requiring urgent and appropriate intervention. Uterine artery embolization (UAE) has a high hemostatic capacity for PPH, but it may fail. Disseminated intravascular coagulation (DIC) has been reported as a risk factor associated with the failure of UAE. Case presentation A 37-year-old primigravida with dichorionic diamniotic twins and placenta previa underwent cesarean section. The blood loss during surgery was 4950 mL. Hemostasis was achieved using an intrauterine balloon tamponade device. However, she lost a further 2400 mL of blood 5 h after surgery. We embolized both uterine arteries using gelatin sponges and confirmed hemostasis. She was suffering from DIC and received ample blood transfusions. However, a further 1300 mL of blood was lost 18 h after surgery and we performed repeated UAE, with complete recanalization of the uterine arteries on both sides and re-embolization with gelatin sponges. Her DIC was treated successfully by blood transfusions at this time, and she showed no further bleeding after the repeated UAE. Conclusions DIC is a risk factor for the failure of UAE. Repeated UAE may be effective after sufficient improvement of the hematological status in patients with PPH and DIC.

scholarly journals Uterine Artery Embolization End Points and Collateral Circulation: Value of Intra-Procedural Non-Contrast Cone Beam CT

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Jaron Tepper ◽  
Jacob Cynamon
Keyword(s):  
Blood Supply ◽  
Collateral Circulation ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Cone Beam Ct ◽  
Uterine Fibroids ◽  
Cone Beam ◽  
Artery Embolization ◽  
Embolic Material ◽  
Uterine Arteries

Uterine artery embolization (UAE) is a well-accepted treatment for symptomatic uterine fibroids, but endpoints of UAE remain controversial. This is of significant concern as incomplete embolization can lead to treatment failure, necessitating repeat embolization or alternative treatments such as hysterectomy. Multiple potential causes of UAE failure have been described including failure to catheterize one or both of the uterine arteries, uterine artery spasm, clumping of embolic material and collateral blood supply vascularizing the fibroids. In this review, we discuss potential approaches to identifying collateral blood supply to the uterus and suggest that intra-procedural non-contrast cone beam CT provides unique advantages to addressing this issue.

Fertility after uterine artery embolization of fibroids: a systematic review

2017 ◽  
Vol 297 (1) ◽  
pp. 13-25 ◽  
Author(s):  
K. Karlsen ◽  
A. Hrobjartsson ◽  
M. Korsholm ◽  
O. Mogensen ◽  
P. Humaidan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization
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