Uterine artery embolization for symptomatic uterine fibroids

Gupta, Janesh; Sinha, Anju; Lumsden, Mary Ann; Hickey, Martha

doi:10.1002/14651858.cd005073.pub2

Cited by 235 publications

(263 citation statements)

References 11 publications

Supporting

Mentioning

241

Contrasting

Unclassified

Order By: Relevance

“…However, whether this technique can also reduce tumor size and volume remains to be investigated. Uterine artery embolization for symptomatic uterine fibroids has been reported to be effective (45), resulting in infarction of fibroids, with reduction of volume and complaints. Furthermore, chemoembolisation has become an accepted treatment option for hepatocellular carcinoma, usually as a palliative technique (46).…”

Section: Reducing Tumor Sizementioning

confidence: 99%

Management of large mediastinal masses: surgical and anesthesiological considerations

Li¹,

Boven²,

Annema

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

Large mediastinal masses are rare, and encompass a wide variety of diseases. Regardless of the diagnosis, all large mediastinal masses may cause compression or invasion of vital structures, resulting in respiratory insufficiency or hemodynamic decompensation. Detailed preoperative preparation is a prerequisite for favorable surgical outcomes and should include preoperative multimodality imaging, with emphasis on vascular anatomy and invasive characteristics of the tumor. A multidisciplinary team should decide whether neoadjuvant therapy can be beneficial. Furthermore, the anesthesiologist has to evaluate the risk of intraoperative mediastinal mass syndrome (MMS). With adequate preoperative team planning, a safe anesthesiological and surgical strategy can be accomplished.

show abstract

Section: Reducing Tumor Sizementioning

confidence: 99%

Management of large mediastinal masses: surgical and anesthesiological considerations

Li¹,

Boven²,

Annema

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…Нині міома матки -найчастіше показання до гістеректомії в усьому світі, однак дане опера-тивне втручання сполучене з високим ризиком ускладнень та смертності [14,17,25].…”

Section: аналіз літературних даних та постановка завдання дослідженняunclassified

“…Збільшення частоти цієї патології за останні десятиріччя, тенденція до зростання захворю-ваності в більш молодому віці, необхідність збе-реження фертильної функції через відкладання сучасними жінками народження дітей на піз-ніший час, широке впровадження допоміжних репродуктивних технологій, які розширюють вікові рамки можливості народити дитину, при-зводять до підвищення кількості хворих на ЛМ з репродуктивними планами та обумовлюють соціальну і медичну актуальність оптимізації тактики лікування ЛМ на основі подальшого ви-вчення її етіології та патогенезу [1, 6,7,10,12,17,19,23,24,28,29,31,33].…”

Section: аналіз літературних даних та постановка завдання дослідженняunclassified

“…Що стосується органозберігаючих технологій, а саме консервативної міомектомії, вона залиша-ється найбільш розповсюдженим втручанням і в останнє десятиріччя все частіше виконується міні-інвазивними доступами -лапароскопічним та гістероскопічним [1,3,10,12,15,21,24,31,32]. Широкої популярності набула емболізація маткових артерій (ЕМА), яка при правильному врахуванні показань та протипоказань дає ста-більний ефект та є достойною альтернативою ін-вазивним втручанням [1, 6,7,8,17,18,23,28,29].…”

Section: аналіз літературних даних та постановка завдання дослідженняunclassified

See 1 more Smart Citation

Hysteroscopic, morphofunctional and immunohistochemical endometriun features in women with uterine leiomyoma after different types of organ-preserving treatment

Zadorozhna¹,

Редько²,

Татарчук³

et al. 2015

Reproductive Endocrinology

View full text Add to dashboard Cite

“…terine artery embolization (UAE) has shown to be a valuable, minimally invasive alternative for the treatment of women with symptomatic leiomyomas, uterine vascular malformations, and postpartum hemorrhage (1)(2)(3)(4)(5)(6)(7)(8)(9). The procedure is performed with angiographic and fluoroscopic guidance.…”

mentioning

confidence: 99%

Three-dimensional rotational angiography is preferable to conventional two-dimensional techniques for uterine artery embolization

Gupta¹,

Zuurmond²,

Grünhagen³

et al. 2013

Diagn Interv Radiol

View full text Add to dashboard Cite

ORIGINAL ARTICLE PURPOSE We aimed to investigate the potential benefits of three-dimensional rotational angiography (3DRA) compared to two-dimensional (2D) roadmapping to visualize the uterine artery (UA) origins during uterine artery embolization (UAE) procedures. MATERIALS AND METHODSSixty-three UAE cases performed under 3DRA guidance were reviewed retrospectively to determine if there was an optimal angiographic projection angle for identifying UA origin. Digital subtraction angiogram (DAS)-like images of the pelvic vessels were generated from the 3DRA scans at six different angles: left anterior oblique (LAO) 25°, 35°, 45°; and right anterior oblique (RAO) 25°, 35°, 45°. Two experienced interventional radiologists assessed if these angles could effectively serve as a roadmap to guide catheterization of the UA. Assessment was validated against original 3DRA scans to determine the percentage of true and false positives. RESULTSNo single projection angle was found that could consistently be utilized for UA catheterization. The projection angles used during 3D roadmapping for both the left and right UA showed two clusters with both a wide spread: RAO 20° to 50° and LAO 20° to 50°. More than 50% of the DSA-like images at RAO and LAO 45° appeared to be adequate for UA catheterization, but validation against the 3DRA revealed 28% of these images were suboptimal and deceptive, due to unappreciated overlapping vessels. CONCLUSIONNo standard projection angles can be recommended with 2D roadmapping to consistently visualize UA origin. The 3DRA can be as a useful tool for UAE to achieve reliable and consistent visibility of the UA origin.

show abstract

Uterine artery embolization for symptomatic uterine fibroids

Cited by 235 publications

References 11 publications

Management of large mediastinal masses: surgical and anesthesiological considerations

Management of large mediastinal masses: surgical and anesthesiological considerations

Hysteroscopic, morphofunctional and immunohistochemical endometriun features in women with uterine leiomyoma after different types of organ-preserving treatment

Three-dimensional rotational angiography is preferable to conventional two-dimensional techniques for uterine artery embolization

Contact Info

Product

Resources

About