Complications after uterine artery embolization for leiomyomas

Spies, James B.; Spector, Amy; Roth, Antoinette R.; Baker, Chandra M.; Mauro, Lauren; Murphy-Skrynarz, Kerry

doi:10.1016/s0029-7844(02)02341-4

Cited by 255 publications

(153 citation statements)

References 16 publications

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“…aCL production may be induced by microbial peptides mimicking the site of fixation of anti-h 2 -glycoprotein type 1 to phospholipids. This has been demonstrated in mice 2 . A search for antiphospholipid antibodies may be useful in primary …”

Section: Sirmentioning

confidence: 63%

Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up

Manyonda

Sinthamoney

Lotfallah

et al. 2003

BJOG

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Section: Sirmentioning

confidence: 63%

Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up

Manyonda

Sinthamoney

Lotfallah

et al. 2003

BJOG

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“…In general, it is associated with a good success rate in appropriately selected patients, and severe complications such as pelvic infection and death have been reported but are rare [2]. Although infectious complications after UAE have been reported in 1% to 2% of cases [4], most of the cases had related uterine infections.…”

Section: Discussionmentioning

confidence: 99%

“…The average reduction in myoma volume is approximately 30-50%, with improvement in the symptoms and menorrhagia in more than 90% of patients. Approximately 90% of patients do not experience complications, and serious complications are reportedly rare [2]. In a recent comprehensive review including 7 randomized controlled trials (RCTs) with 793 women, UAE has been shown to be a safe, minimally invasive alternative to surgery, while patient selection and counselling should be considered due to a higher risk of requiring future surgical intervention [3].…”

Section: Introductionmentioning

confidence: 99%

Tubo-Ovarian Abscess after Uterine Artery Embolization for Uterine Fibroid

Sawada¹

2015

Gynecol Obstet (Sunnyvale)

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Tubo-ovarian abscess is a rare but potentially serious event that can occur after uterine artery embolization (UAE). We describe herein two cases of severe inflammatory tubo-ovarian abscesses. Two women presented with severe abdominal pain, cramping, and fever several months after UAE. Abdominal computed tomography demonstrated an enlarged tubo-ovarian mass, suggestive of an abscess. Percutaneous catheter drainage was performed. In one patient, tubo-ovarian abscess completely disappeared after the drainage, but the other patient eventually required hysterectomy and salpingo-oophorectomy. It is important for clinicians to be aware of tubo-ovarian abscess as a rare complication. Percutaneous drainage might be a useful treatment option.

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“…25 Uterine artery embolization, which has shown good results, is also expensive and associated with risks. [26][27][28][29][30] Taking all of these aspects into consideration, sclerotherapy seems to be an advantageous method.…”

Section: Discussionmentioning

confidence: 99%

Midterm Outcome of Ultrasound-Guided Alcohol Gel Sclerotherapy for Symptomatic Leiomyoma

Pessoa

Gurgel

Ávila

et al. 2010

Journal of Ultrasound in Medicine

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AbbreviationsGnRH, gonadotropin-releasing hormone; UAE, uterine artery embolization eiomyoma, also known as a fibromyoma or fibroid, is a frequent gynecologic disorder affecting approximately 25% to 35% of women, especially black women, at some point in their lives. 1Although most patients are asymptomatic, the fact that about 50% have clinical symptoms explains the high number of hysterectomies performed all over the world (538,722 per year for benign disease in the United States in 2003).2 The main symptoms of leiomyoma include heavy menstrual bleeding, pelvic pain, abdominal swelling, intestinal, urinary, or venous pressure, and hemorrhagic vaginal discharge (bleeding between periods).3 In addition, myomas are considered infertility factors, although the mechanisms of this association have not been clarified. 4 Diagnosis has been facilitated in the past few years by dissemination of ultrasound techniques. The sensitivity and specificity of ultrasound for diagnosing leiomyomas are as high as 99% and 91%, respectively. L ArticleObjective. The purpose of this study was to describe the outcome of ultrasound-guided ethanol gel sclerotherapy of myomatous nodules 1 to 18 months after treatment. Methods. A total of 118 consecutive patients with a diagnosis of symptomatic leiomyomas referred for ethanol gel sclerotherapy were studied between November 2005 and July 2007. Clinical (self-administered symptom questionnaire) and ultrasound follow-ups were done 1 to 2, 6 to 8, and 12 to 18 months after the procedure. Results. The mean baseline volumes ± SD were 223.3 ± 158.3 cm 3 for the uterus and 68.4 ± 110.5 cm 3 for the dominant fibroid. The most common adverse reaction in the immediate postoperative period was pelvic pain in 27.1% of the patients, but 58.4% had no reactions. After 12 months, a 29.5% reduction in uterine volume was observed in 64.7% of the patients. A 55.5% reduction in dominant fibroid volume was observed in 82.8% of the patients. Pelvic pain improved in 29.8% of the sample, dysmenorrhea in 51.7%, and menstrual flow in 39%. Most patients (77%) reported being satisfied or very satisfied with the treatment. Conclusions. The results suggest that ethanol gel sclerotherapy is a safe, conservative alternative for treating symptomatic uterine leiomyomas. Further randomized studies are necessary to determine the suitability and indications of this procedure in comparison to other minimally invasive techniques.

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Complications after uterine artery embolization for leiomyomas

Abstract: The short-term complication rate was low in women undergoing uterine embolization.

Cited by 255 publications

References 16 publications

Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up

Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up

Tubo-Ovarian Abscess after Uterine Artery Embolization for Uterine Fibroid

Midterm Outcome of Ultrasound-Guided Alcohol Gel Sclerotherapy for Symptomatic Leiomyoma

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