Technical Results and Effects of Operator Experience on Uterine Artery Embolization for Fibroids: The Ontario Uterine Fibroid Embolization Trial

Uterine artery embolisation for uterine fibroids using a 4F Rosch inferior mesenteric catheter

“…Nevertheless, their mean fluoroscopic time was relatively high (22.5 min), and the 95% confidence interval of their mean cannot be calculated for comparison as the standard deviation of their screening time was not given in the paper. In this series microcatheters were used in only two cases (2.8%), which is comparable to some series (5.0-6.5%) [2,3,5,9], but significantly lower than other authors (45-63.6% of cases) [1,4,6]. The use of a microcatheter was necessary in one case due to a tortuous uterine artery and due to arterial spasm in another.…”

“…Catheterisation of the uterine artery using microcatheters may be helpful in negotiating very tortuous vessels and in reducing spasm. Various series report the use of microcatheters in a variable proportion (5.0-63.6%) of cases [1,2,[4][5][6]9]. The use of a modification of the Cope suture technique to form the Waltman loop with a 4F catheter from a single femoral artery puncture has also been reported [10].…”

Uterine artery embolisation versus hysterectomy for leiomyomas: primary and 2-year follow-up results of a randomised prospective clinical trial

“…Thus far, only three randomised, controlled trials have been reported [4][5][6][7][8][9], only one of which included both menorrhagia and pressure symptoms in the inclusion criteria [5]. In addition, some multicentre case series have been published that compare UAE with hysterectomy [10,11] and evaluate UAE alone [12][13][14][15][16][17][18][19][20].…”

Randomized comparison of long and short vascular sheaths in reduction of the operator radiation exposure during uterine artery embolization

“…Intervention radiation exposure is also significantly influenced by the operation experience of the interventionists. 9 Pron et al 13 demonstrated that increased experience in UAE significantly reduced radiation exposure and fluoroscopy time. A reduction of approximately 50% in the received doses was observed between the first and second year of work owing to increased experience, resulting in reduced procedure times and fluoroscopy use, as reported by Anglesio et al 14 Operator hands often received much higher doses than the eyes, neck or trunk.…”