Effectiveness of Elective Unilateral Uterine Artery Embolization: A Case-control Study

Stall, Luke; Lee, Justin; McCullough, Michael F.; Nsrouli-Maktabi, Hala; Spies, James B.

doi:10.1016/j.jvir.2011.01.442

Cited by 14 publications

(10 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Procedural factors identified that may minimize pain after UAE include selection to avoid bilateral UAE among patients with limited fibroid disease [6], type of embolic material used, Contour SE requiring less opioid analgesia compared to Embosphere/Embosphere Gold [7,8] and the use of preemptive analgesic, anti-inflammatory and antiemetic medications.…”

Section: Introductionmentioning

confidence: 99%

A Randomized, Double-Blind, Placebo-Controlled Study of Preemptive Oral Oxycodone with Morphine Patient-Controlled Anesthesia for Postoperative Pain Management in Patients Undergoing Uterine Artery Embolization for Symptomatic Uterine Fibroids

Konstantatos

Kavnoudias

Stegeman

et al. 2014

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

Purpose To evaluate the analgesic efficacy of oral premedication of oxycodone in a group of patients undergoing elective uterine artery embolization under sedation for fibroid disease. Methods Thirty-nine patients (mean age 42.3 years) were prospectively randomized 1:1 to receive 20 mg oxycodone or placebo orally immediately before their procedure. At the commencement of the procedure, patients were provided with a patient-controlled analgesia device for 24 h, programmed to deliver 1 mg boluses of intravenous morphine with a 5 min lockout. Mean visual analog scale pain intensity ratings (0-100 mm) were measured from both groups and evaluated over 0 to 6 h as the primary end point. Other measured parameters included opioid-related side effects and eligibility for discharge (NCT00163930; September 12, 2005). Results Early pain intensity did not vary significantly between the active and placebo groups [mean (standard deviation): 3.2 (2.5) vs. 3.1 (2.2), p = 0.89]. The oxycodone group, however, experienced significantly more nausea (p = 0.035) and a greater incidence of vomiting (p = 0.044). Overall opioid requirement over 24 h, measured as oral morphine equivalent, was greater in the oxycodone group (median [interquartile range]: 64.5

show abstract

Section: Introductionmentioning

confidence: 99%

A Randomized, Double-Blind, Placebo-Controlled Study of Preemptive Oral Oxycodone with Morphine Patient-Controlled Anesthesia for Postoperative Pain Management in Patients Undergoing Uterine Artery Embolization for Symptomatic Uterine Fibroids

Konstantatos

Kavnoudias

Stegeman

et al. 2014

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

show abstract

“…In the study (Stall et al, 2011) evaluating 1431 uterine artery embolisations, 28 scheduled unilateral fi broid embolisations with fi broids supplied only by ipsilateral uterine artery were identifi ed. Compared to the same set of bilateral embolisations, there was no signifi cant difference in a complete fi broid necrosis (92 % vs 88 %); and less intensive post-embolisation pain with lower doses of anaesthetic agents and shorter total skiascopy time were reported in the set of unilateral embolisations.…”

Section: Discussionmentioning

confidence: 99%

Intraprocedural complications of uterine fibroid embolisation and their impact on long-term clinical outcome

Javorka¹,

Malik²,

Mizickova³

et al. 2019

BLL

View full text Add to dashboard Cite

OBJECTIVES: Authors evaluate the impact of intraprocedural complications on successful technical realisation and long-term clinical outcome of the uterine fi broid embolisation. BACKGROUND: The uterine artery embolisation (UAE) has become an accepted treatment method for uterine fi broids. In general, the unilateral embolisation is considered to be insuffi cient due to poor clinical effect. METHODS: Overall, 165 uterine artery embolisations were analysed (retrospectively-prospectively) in 163 female patients. Intraprocedural complications and their impact on the possibility to perform bilateral embolisationwere evaluated. In patients with unscheduled unilateral embolisation, short-term as well as longterm clinical effects were observed with mean follow-up period of 41 months. RESULTS: The bilateral uterine artery embolisation was possible in 95.7 % (95 %, CI 91.3-99.4 %) procedures. The unilateral embolisation was reported in 7 procedures (4.3 %, CI 1.2-8.3 %) and reasons were following: resistant arterial spasm in 4 patients (2.5 %, CI 0.7 %-5.3 %) and impossible catheterisation due to unfavourable anatomic situation in 3 patients (1.8 %, CI 0.3-4.1 %). Other complications, such as dissection and perforation, did not affect the successful technical realisation. The long-term clinical effect of unscheduled unilateral embolisation was reported in 5 patients. CONCLUSION: The results of our series of unscheduled unilateral uterine fi broid embolisation had high longterm clinical success rate. In way of unscheduled unilateral embolisation, we recommend MRI follow-up and reintervention only in way of persistence or recurrence of symptoms with concurrent MRI fi nding of residual fi broids(Tab.

show abstract

“…proposed-such as: using a higher particle diameter > 500micrometers (ovarian arteries being 500 micrometres or under), selective coiling of the visible and big collaterals, unilateral embolization when possible, end of particle injection at viewing a retrograde flow in the ovarian arteries (Ib) etc. (1,13,14,17). We only use particles over 500 micrometers even more and establish the right endpoint also according to the flow towards the ovarian arteries I order to prevent fertility loss; unfortunately, no coiling nor unilateral embolization has been yet achieved.…”

Section: Methodsmentioning

confidence: 99%

“…We only use particles over 500 micrometers even more and establish the right endpoint also according to the flow towards the ovarian arteries I order to prevent fertility loss; unfortunately, no coiling nor unilateral embolization has been yet achieved. In the cases in which a single uterine artery supply is detected, for the purpose of fertility sparing a unilateral embolization can be achieved with protection of the contralateral ovarian site and remaining myometrium, also resulting in lower fluoroscopy time, less uterine artery embolization symptoms and less medication, according to general literature (14).…”

Section: Methodsmentioning

confidence: 99%

Uterine artery embolization angiography and fertility related aspects

Horhoianu¹,

Scăunașu²,

Horhoianu³

et al. 2016

J Clin Invest Surg.

View full text Add to dashboard Cite

Purpose. Uterine artery embolization is a minimally invasive technique. It applies the principle of targeted anatomical structure devascularisation with utility in fibroid conservative therapy, including for future fertility preserving status. The objective of our paper represents a description and evaluation of angiography utility as a predictive method for fertility maintenance. Material and Methods. The angiography and ultrasound aspects obtained from a prospective study in which selected patients have undergone uterine artery embolization for fertility preservation are detailed. Results. The following angiography aspects have been detected: left-right shunt and utero-ovarian collaterals; these have been compared with the ultrasound aspects related to the fibroid evolution form a volumetric and Doppler ultrasound point of view. The angiographical description predicts the impact on post embolization fibroid evolution and upon fertility. An analysis is made in order to assess the way in which angiography can contribute to fertility alteration. Conclusions. The angiography aspects during embolization and the following ultrasound aspects can represent predictive factors as to fertility evolution after uterine artery embolization. Acne conglobata is a rare, severe form of acne vulgaris characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts, located on the face, trunk, neck, arms and buttocks.

show abstract

Effectiveness of Elective Unilateral Uterine Artery Embolization: A Case-control Study

Cited by 14 publications

References 13 publications

A Randomized, Double-Blind, Placebo-Controlled Study of Preemptive Oral Oxycodone with Morphine Patient-Controlled Anesthesia for Postoperative Pain Management in Patients Undergoing Uterine Artery Embolization for Symptomatic Uterine Fibroids

A Randomized, Double-Blind, Placebo-Controlled Study of Preemptive Oral Oxycodone with Morphine Patient-Controlled Anesthesia for Postoperative Pain Management in Patients Undergoing Uterine Artery Embolization for Symptomatic Uterine Fibroids

Intraprocedural complications of uterine fibroid embolisation and their impact on long-term clinical outcome

Uterine artery embolization angiography and fertility related aspects

Contact Info

Product

Resources

About