A uterine wall defect after uterine artery embolization for symptomatic myomas

Iaco, Pierandrea De; Muzzupapa, Giuseppe; Golfieri, Rita; Ceccarini, M.; Roset, Brunilde; Baroncini, S

doi:10.1016/s0015-0282(01)02953-3

Cited by 30 publications

(10 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Uterine rupture has not been reported during pregnancy after UAE; however, uterine wall defects, necrosis, and fistula have been reported, and integrity of the uterine wall remains unknown (133)(134)(135). Therefore, outcomes for UAE treatment of postpartum hemorrhage should not be extrapolated to UAE treatment of myomas before pregnancy.…”

Section: Fertility and Pregnancy After Uaementioning

confidence: 99%

Uterine myomas: management

Parker¹

2007

Fertility and Sterility

200

128

View full text Add to dashboard Cite

Section: Fertility and Pregnancy After Uaementioning

confidence: 99%

Uterine myomas: management

Parker¹

2007

Fertility and Sterility

200

128

View full text Add to dashboard Cite

“…Uterine artery embolization can provoke ovarian ischemia (21) or ovarian lesions or failure (22)(23)(24)(25) associated with transient or permanent amenorrhea and other symptoms of menopause (12,22,(25)(26)(27)(28)(29). Uterine ischemia has been described after UAE (22,25,(30)(31)(32)(33)(34)(35), and one possible sequela of uterine ischemia and necrosis is uterine rupture, as reported by Shashoua et al (36) and De Iaco et al (37).…”

mentioning

confidence: 93%

Fertility after bilateral uterine artery embolization in a sheep model

Laurent

Pelage

Wassef

et al. 2008

Fertility and Sterility

View full text Add to dashboard Cite

“…De Iaco et al [15] reported partial disruption of the uterine wall with fibroid remnants within a localized defect presumably representing ulceration after fibroid expulsion. Chronic vaginal discharge is one of the frequent complications of UAE.…”

Section: Discussionmentioning

confidence: 99%

Uterine restoration after repeated sloughing of fibroids or vaginal expulsion following uterine artery embolization

Park

Kim

et al. 2005

Eur Radiol

View full text Add to dashboard Cite

The aim of our study is to present our experience with uterine restoration after repeated sloughing of uterine fibroids or transvaginal expulsion following uterine artery embolization (UAE) and to determine its safety and outcome. One hundred and twenty-four women (mean age, 40.3 years; age range, 29-52 years) with symptomatic uterine fibroids were included in this retrospective study. We performed arterial embolization with poly(vinyl alcohol) particles (250-710 microm). Clinical symptoms and follow-up information for each patient were obtained through medical records. At an average of 3.5 months (range, 1-8 months) after embolization, magnetic resonance imaging examinations with T1- and T2-weighted and gadolinium-enhanced T1-weighted images were obtained for all patients. The mean follow-up duration was 120 days (90-240 days). Eight (6.5%) patients experienced uterine restoration after repeated sloughing of uterine fibroids or spontaneous transvaginal expulsion. The locations of the leiomyomas were submucosal (n=5), intramural (n=2) and transmural (n=1). The maximum diameter of the fibroids ranged from 3.5 to 18.0 cm, with a mean of 8.4 cm. The time interval from embolization to the uterine restoration was 7-150 days (mean 70.5 days). The clinical symptoms before and during vaginal sloughing or expulsion were lower abdominal pain (n=4), vaginal discharges (n=3), infection of necrotic myomas (n=2) and cramping abdominal pain (n=1). Gentle abdominal compression (n=1) and hysteroscopic assistance (n=1) were required to remove the whole fibroid. No other clinical sequelae, either early or delayed, were documented. Magnetic resonance images revealed the disappearance of leiomyomas, intracavitary rupture resulting in transformation of intramural or transmural myomas into submucosal myomas and localized uterine wall defects. Although the small size of this study precludes a strict conclusion, there appear to be few serious complications directly related to vaginal expulsion. Vaginal expulsion or fibroid sloughing is a possible course following UAE that is manageable, and the patients should be informed about this possibility.

show abstract

A uterine wall defect after uterine artery embolization for symptomatic myomas

Cited by 30 publications

References 3 publications

Uterine myomas: management

Uterine myomas: management

Fertility after bilateral uterine artery embolization in a sheep model

Uterine restoration after repeated sloughing of fibroids or vaginal expulsion following uterine artery embolization

Contact Info

Product

Resources

About