Analysis of prognostic factors for patients with leiomyoma treated with uterine arterial embolization

Isonishi, Seiji; Coleman, Robert L.; Hirama, Masanori; Iida, Yasushi; Kitai, Satomi; Nagase, M; Ochiai, Kazuhiko

doi:10.1016/j.ajog.2007.09.026

Cited by 35 publications

(18 citation statements)

References 16 publications

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“…Blockage of uterine vessels can be performed by radiologists (known as uterine artery embolization [UAE]) and finished by surgeons (known as uterine vessel occlusion [UVO]). Uterine artery embolization has become increasingly accepted as a minimally invasive, uterine-sparing procedure, and studies have reported the successful reduction of fibroid and uterine size 3-12 months after the procedure and relief of excessive menstrual bleeding or pressure in 80%-90% of patients (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Similar results using uterine vessel occlusion in the management of uterine fibroids have also been noted in the literature (12,(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30).…”

supporting

confidence: 53%

Use of uterine vessel occlusion in the management of uterine myomas: two different approaches

Lee

Liu

Fuh

et al. 2010

Fertility and Sterility

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supporting

confidence: 53%

Use of uterine vessel occlusion in the management of uterine myomas: two different approaches

Lee

Liu

Fuh

et al. 2010

Fertility and Sterility

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“…Before UAE the vascularity of the fi broids, as established by contrast enhanced MRI, predicts outcome: hypervascular fi broids predict a long regrowth free interval [ 10 ]. Sagittal MRI demonstrating same uterus with fi broids from fi gure a 6 months after UAE Furthermore, a smaller leiomyoma size, a submucosal location of the fi broids, and heavy menstrual bleeding as the presenting symptom are predictors of a more signifi cant fi broid related symptom change score [ 11 ].…”

Section: Patient Selection and Prediction Of Uae Outcomementioning

confidence: 99%

Uterine Artery Embolization and New Ablation Techniques

Hehenkamp

Huirne

Brölmann

2014

Uterine Myoma, Myomectomy and Minimally Invasive Treatments

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“…Казахстан. 3 Заведующий отдела лучевой диагностики, КФ «UMC» Республиканский Диагностический Центр, Астана, Казахстан.…”

Section: резюмеunclassified

“…Частота встречаемости этого заболевания по данным аутопсийного материала колеблется от 70 до 85%. Симптомная миома матки в возрасте от 20 до 30 лет встречается у 5-7% женщин, в 30-40 летнем возрасте у 20-25% женщин, достигших пременопаузального возраста частота лейомиом достигает 30-35%, а по данным некоторых авторов и до 40% [1,2,3].…”

Section: Introductionunclassified

Endovascular occlusion of uterine arteries in the treatment of symptomatic uterine leiomyoma

Abishev

Raushan

Dulat³

2017

J CLIN MED KAZ

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Objective:assess the condition of the uterus and myomatous nodes after EMA in different periods by ultrasound and MRI.Methods. EMA was performed in 632 patients with various forms of uterine fibroids. To achieve this goal, 120 observations with various forms of uterine fibroids were analyzed.Results. Reduction of myomatous nodes according to ultrasound and MRI in 1 month was -18.4-17.3%, after 3 months -40.7-42.9%, after 6 months it was -60.4-61.8% and through 12 months -72.5-74.7% (р˂0.05) respectively. Necrotic isolation of the node, expulsion of myomatous nodes and removal of the partially submucous node giving birth was observed in n-18 (15%) cases. In n-12 (10%) observations, after uterine artery embolization, laparoscopic myomectomy of the subserousmyomatous nodes was performed.Conclusion. our experience shows that EMA is highly effective method for treating uterine fibroids, performed depending on various forms alone or in combination with operational accommodation.Keywords:Embolization of uterine arteries -X-ray endovascular occlusion magnetic resonance imaging-myoma of the uterine myomatous nodes. Мақсаты: УМЗ кейін әртүрлі кезеңдерде жатыр мен миоматозды түйіндердің жағдайын УДЗ мен МРТ арқылы бағалау. Зерттеудің әдістері: EMA әртүрлі жатыр миомасы бар 632 науқаста орындалды. Осы мақсатқа жету үшін ана миомасының түрлі нысан-дары бар 120 байқау талданды. Endovascular occlusion of uterine arteries in the treatment of symptomatic uterine leiomyomaНәтижелері: Миоматозды түйіндерді ультрадыбыстық және ЕРТ бойынша 1 ай ішінде азайту -18,4-17,3%, 3 айдан кейін -40,7-42,9%, 6 айдан кейін -60,4-61,8% 12 ай -тиісінше 72,5-74,7% (р00,05).N-18 (15%) жағдайында түйінді тітіркендіргіш оқшаулау, миоматозды түйіндерді алып тастау және ішінара субмукозды түйінді босату. В-12 (10%) байқауында жатырдың артерия эмболизациясынан кейін миоматозды тораптардың лапароскопиялық миомектомиясы орындал-ды.Қорытынды: біздің тәжірибеміз көрсеткендей, EMA -әртүрлі нысандарға немесе операциялық тұрғыдан үйлесімге байланысты орын-далатын, жатыр миомасын емдеуде органды сақтаушы, жоғары тиімді әдіс.Маңызды сөздер: Жатыр артерияларының эмболизациясы -рентгендік эндоваскулярлы окклюзия-магнитті резонансты бейнелеу -миоматозды түйіндердің миомасы.

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Analysis of prognostic factors for patients with leiomyoma treated with uterine arterial embolization

Cited by 35 publications

References 16 publications

Use of uterine vessel occlusion in the management of uterine myomas: two different approaches

Use of uterine vessel occlusion in the management of uterine myomas: two different approaches

Uterine Artery Embolization and New Ablation Techniques

Endovascular occlusion of uterine arteries in the treatment of symptomatic uterine leiomyoma

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