Abstract:Percutaneous vascular embolization plays an important role in the management of various gynecologic and obstetric abnormalities. Transcatheter embolization is a minimally invasive alternative procedure to surgery with reduced morbidity and mortality, and preserves the patient's future fertility potential. The clinical indications for transcatheter embolization are much broader and include many benign gynecologic conditions, such as fibroid, adenomyosis, and arteriovenous malformations (AVMs), as well as intrac… Show more
“…It is usually treated by analgesic and antiinflammatory medications. 28 However, current studies report complication rates to be around 1-3%, most common being post UAE pelvic pain. 29 Complications following procedure were minimum in our study, with majority of patients, 23(76.7%) reporting no complications following procedure.…”
BACKGROUNDUterine Artery Embolization is an Interventional Radiology technique involving placement of a catheter and injection of an embolizing agent in the uterine artery. It has now become an accepted option for the treatment of symptomatic fibroids and other gynaecological conditions. This study seeks to report the different indications and outcomes of uterine artery embolization for variety of gynaecological and obstetrical conditions. METHODS 30 women who presented for uterine artery embolization in a tertiary care teaching hospital in eastern India from June 2016 to May 2017 were retrospectively studied with follow-up up to 12 months for indications, success rate and complications.
RESULTSTechnical success rate was achieved in 96.67% of cases. The most common indication for embolization was uterine fibroids. Mean reduction of fibroid volume was 51.7% at 6 weeks, 67.9% at 6 months. Most common complaint following embolization was pelvic pain, which could be managed conservatively.
CONCLUSIONSUterine artery embolization is a safe and effective minimally invasive technique which can be used to manage different obstetrical and gynaecological conditions with high technical success rate and minimal complications. It is also a minimally invasive, uterus sparing treatment option in patients willing to preserve their fertility.
HOW TO CITE THIS ARTICLE: MukherjeeA, Bhattacharyya B, Chakrabarty R, et al. Uterine artery embolization: different indications and outcome.
“…It is usually treated by analgesic and antiinflammatory medications. 28 However, current studies report complication rates to be around 1-3%, most common being post UAE pelvic pain. 29 Complications following procedure were minimum in our study, with majority of patients, 23(76.7%) reporting no complications following procedure.…”
BACKGROUNDUterine Artery Embolization is an Interventional Radiology technique involving placement of a catheter and injection of an embolizing agent in the uterine artery. It has now become an accepted option for the treatment of symptomatic fibroids and other gynaecological conditions. This study seeks to report the different indications and outcomes of uterine artery embolization for variety of gynaecological and obstetrical conditions. METHODS 30 women who presented for uterine artery embolization in a tertiary care teaching hospital in eastern India from June 2016 to May 2017 were retrospectively studied with follow-up up to 12 months for indications, success rate and complications.
RESULTSTechnical success rate was achieved in 96.67% of cases. The most common indication for embolization was uterine fibroids. Mean reduction of fibroid volume was 51.7% at 6 weeks, 67.9% at 6 months. Most common complaint following embolization was pelvic pain, which could be managed conservatively.
CONCLUSIONSUterine artery embolization is a safe and effective minimally invasive technique which can be used to manage different obstetrical and gynaecological conditions with high technical success rate and minimal complications. It is also a minimally invasive, uterus sparing treatment option in patients willing to preserve their fertility.
HOW TO CITE THIS ARTICLE: MukherjeeA, Bhattacharyya B, Chakrabarty R, et al. Uterine artery embolization: different indications and outcome.
“…The radiological features are summarized in Table 1. 2,19,25,[54][55][56][57][58][59][60][61][62] Table 1. Common Imaging Findings of Uterine Arteriovenous Malformation (UAVM).…”
Section: Diagnostic Imagingmentioning
confidence: 99%
“…Common Imaging Findings of Uterine Arteriovenous Malformation (UAVM). 2,19,25,[54][55][56][57][58][59][60][61][62]…”
Section: Diagnostic Imagingmentioning
confidence: 99%
“…This method is not only the gold standard in diagnosing UAVM but also an interventional treatment technique. 33,61 There have been several studies in the literature regarding creating 4D-DSA images from 3D-DSA images obtained with time resolution. This technique gives the reader a better ability to identify characteristicsof the lesion than a 3D technique.…”
Section: Digital Subtraction Angiographymentioning
Uterine arteriovenous malformation (UAVM) is a rare condition and is classified as either congenital or acquired UAVM. Patients with UAVMs usually experience miscarriages or recurrent menorrhagia. Ultrasound is used for the initial estimation of UAVMs. Computed tomography and magnetic resonance imaging are noninvasive and valuable methods that provide good compatibility with digital subtraction angiography to support the diagnosis and treatment of UAVM. Timely diagnosis is crucial to provide appropriate treatment for alleviating complications. This article presents a pictorial and literature review of the current evidence of the diagnosis and management of UAVM.
Adenomyosis is a challenging clinical condition that is commonly being diagnosed in women of reproductive age. To date, many aspects of the disease have not been fully understood, making management increasingly difficult. Over time, minimally invasive diagnostic and treatment methods have developed as more women desire uterine preservation for future fertility or to avoid major surgery. Several uterine-sparing treatment options are now available, including medication, hysteroscopic resection or ablation, conservative surgical methods, and high-intensity focused ultrasound each with its own risks and benefits. Uterine artery embolization is an established treatment option for uterine fibroids and has recently gained ground as a safe and cost-effective method for treatment of uterine adenomyosis with promising results. In this review, we discuss current trends in the management of uterine adenomyosis with a special focus on uterine artery embolization as an alternative to hysterectomy.
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