Fibroid-related Menorrhagia: Treatment with Superselective Embolization of the Uterine Arteries and Midterm Follow-up

Pelage, J.P.; Dref, Olivier Le; Soyer, Philippe; Kardache, M; Dahan, H.; Abitbol, M.; Merland, J J; Ravina, J; Rymer, Roland

doi:10.1148/radiology.215.2.r00ma11428

Cited by 349 publications

(231 citation statements)

References 25 publications

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“…The high degree of technical success of 96% reported in our study is comparable with American and European studies and is also as per SCVIR guidelines. [4][5][6][7][8][9][10][11] The most common reason for technical failure was difficulty in cannulising arteries. 12 In our study majority of cases were canulated at the first attempt and remaining in second attempt.…”

Section: Discussionmentioning

confidence: 99%

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Role of uterine artery embolisation in the treatment of symptomatic fibroids

et al. 2017

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Background: Uterine fibroids are the most common tumor in the female reproductive tract with high incidence of 40%. The objectives were to evaluate the technical success of the uterine artery embolisation in symptomatic fibroids and to evaluate improvement of symptoms and determine complications. Methods: Total 15 patients with symptomatic uterine fibroids were undergone uterine artery embolisation over a period of two years. The patients were followed with pelvic ultrasound immediately after the procedure and at 2 and 6 months intervals after procedure.Results: There was significant reduction in size of fibroids and improvement of symptoms after the procedure. Technical success rate and clinical success rate are 96% and 93% respectively which are comparable with other international studies. The complications with this procedure are few. The most common complication is pelvic pain.Conclusions: Uterine fibroids are the most common benign pelvic neoplasms, affecting nearly 40% of women of reproductive age. In the management of symptomatic fibroids uterine artery embolisation is a safe and effective alternative to surgery with markedly reduced morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

“…Micro catheters were used more often than the European trials. [8][9][10] This could be due to individual preference, micro catheter cost may also play a role. Nontarget embolisation is major hazard in patient undergoing UAE.…”

Section: Discussionmentioning

confidence: 99%

Role of uterine artery embolisation in the treatment of symptomatic fibroids

et al. 2017

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“…UFE is recently growing and becoming one of the main treatment modalities for symptomatic fibroids (9)(10)(11). However, 5-10% of the patients who underwent UFE are refractory; one of the most common causes is ovarian collateral to the fibroids (12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

Practical Application of a Coronal MR Image during a Uterine Fibroid Embolization (UFE)

Jung

Kim

Lee

et al. 2010

J Korean Soc Radiol

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“…This is sometimes severe enough to require hysterectomy 8,9 . Other major complications include pulmonary embolism 13 , ovarian failure 8,9,16,17 and vaginal expulsion of a submucous myoma after embolisation 18 . Extensive ischaemic necrosis after uterine artery embolisation leading to necrosis of the bladder and vaginal vault necrosis has not been previously reported.…”

Section: Discussionmentioning

confidence: 99%

“…However, bladder necrosis following pelvic artery embolisation has been described 19 . The extent of ischaemia with consequent necrosis is thought to be related to the particle size of the embolising material, with smaller ones being able to lodge into the more distal arterioles causing more ischaemia 9,20 .…”

Section: Discussionmentioning

confidence: 99%