Uterine Artery Embolization: A Nonsurgical Cure for Fibroids

2009 ◽  
Vol 1 (3) ◽  
pp. 13-18
Author(s):  
Nikita Naredi ◽  
TK Bhattacharyya
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Cost Effective ◽  
Benign Tumors ◽  
Artery Embolization ◽  
Safe Alternative ◽  
Uterine Leiomyomata ◽  
Uterine Arteries ◽  
Future Fertility

ABSTRACT Uterine leiomyomata commonly known as fibroids are benign tumors of the uterus that are a common cause of heavy menstrual bleeding, pelvic pain and pressure symptoms in women. The traditional method of treatment for these benign tumors has been surgery as long-term medical therapies have not shown to be effective. Uterine artery embolization (UAE) a minimally invasive, interventional radiological technique, wherein complete occlusion of both the uterine arteries with particulate emboli are carried out, has been found to be an effective and safe alternative in the treatment of menorrhagia and other fibroid-related symptoms in women not desiring future fertility or who are poor surgical candidates. This treatment modality available in all major institutions may be instituted as an alternative to hysterectomy in young women wishing to preserve the uterus. UAE a cost-effective modality associated with a short hospital stay has significant advantages over conventional surgeries in the treatment of myomas.

scholarly journals Uterine Artery Embolization and Future Fertility Potential

2007 ◽  
Vol 3 (4) ◽  
pp. 449-453
Author(s):  
Kee Jiet Ong ◽  
Mostafa Metwally ◽  
William L Ledger
Keyword(s):  
Pregnancy Outcome ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Adverse Pregnancy Outcome ◽  
Case Reports ◽  
Artery Embolization ◽  
Safety And Efficacy ◽  
Future Fertility ◽  
Adverse Pregnancy

The growing body of evidence concerning the safety and efficacy of uterine artery embolization (UAE) has led to increasing confidence amongst gynecologists and interventional radiologists that UAE can be used safely to treat women with symptomatic fibroids. UAE is clearly preferable for certain subgroups of patients, for example those with increased risks of complications of general anesthesia, those with religious objection to blood transfusion and those wishing to avoid surgical risk. This review of the available literature demonstrates the paucity of information concerning safety and efficacy of UAE for those wishing to conceive. Case reports and series are largely positive. However, there are continuing concerns over the effects of UAE on ovarian and uterine function, and on subsequent pregnancy outcome. More long-term data and randomized controlled trials are required to address these issues. Women who undergo embolization should be told that the effects on pregnancy and the resulting child are uncertain and that there may be long-term implications for the health and development of the offspring. Hence, it is inadvisable to try to conceive following the procedure. Given the available evidence, concern must remain that UAE may lead to significant damage to fertility, with higher risk of miscarriage and adverse pregnancy outcome when compared with open or laparoscopic myomectomy.

A novel use of contrast-enhanced ultrasound in uterine artery embolization

2020 ◽  
Vol 4 ◽  
pp. 8
Author(s):  
Jemianne Bautista Jia ◽  
Eric Mastrolonardo ◽  
Mateen Soleman ◽  
Ilya Lekht
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Imaging Modality ◽  
Cost Effective ◽  
Contrast Enhanced Ultrasound ◽  
Artery Embolization ◽  
Non Invasive ◽  
Contrast Enhanced

Contrast-enhanced ultrasound (CEUS) is a cost-effective, quick, and non-invasive imaging modality that has yet to be incorporated in uterine artery embolization (UAE). We present two cases that demonstrate the utility of CEUS in UAE for the identification of uterine-ovarian collaterals which otherwise can result in ineffective fibroid treatment and non-target embolization.

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 Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease

Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 411
Author(s):  
Felice Sorrentino ◽  
Vincenzo De Feo ◽  
Guglielmo Stabile ◽  
Raffaele Tinelli ◽  
Maurizio Nicola D’Alterio ◽  
...  
Keyword(s):  
Diode Laser ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Artery Ligation ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Dilation And Curettage ◽  
Management Protocol ◽  
Future Fertility

Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy which represents a consequence of a previous cesarean section. It is associated with major maternal morbidity and mortality and has potential implications on future fertility. Because of possible serious complications, CSP should be swiftly diagnosed and treated. There is no management protocol for this rare, life-threatening condition, and each patient should be evaluated individually. Several types of conservative treatment have been used to treat cesarean scar pregnancy: dilation and curettage (D&C), excision of trophoblastic tissues, local or systemic administration of methotrexate, bilateral hypogastric artery ligation, and selective uterine artery embolization with curettage and/or methotrexate administration. In our study we present a cesarean scar pregnancy of a 40-year-old woman who was treated with angiographic uterine artery embolization (UAE) followed by hysteroscopic diode laser resection. Our combined UAE–hysteroscopic laser surgery appears to offer an effective, safe, and minimally invasive surgical treatment.

Outpatient Uterine Artery Embolization for Symptomatic Fibroids: Short- and Long-Term Single Institution-Based Outcomes

2013 ◽  
Vol 35 (2) ◽  
pp. 156-163 ◽  
Author(s):  
Pasteur Rasuli ◽  
Armin Sabri ◽  
Ian Hammond ◽  
Gordon J. French ◽  
Nathalie Gamache ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Single Institution ◽  
Artery Embolization ◽  
Short And Long Term

Long-term effects of uterine artery embolization caused by the embolic material

2021 ◽  
Vol 2 (69) ◽  
pp. 92
Author(s):  
Gabriel Octavian Olaru ◽  
Monica-Cătălina Pena ◽  
Liana Pleș ◽  
Romina-Marina Sima ◽  
Cristian-Viorel Poalelungi
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Long Term Effects ◽  
Artery Embolization ◽  
Embolic Material
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