Insufficient Leiomyoma Infarction in Uterine Artery Embolization: Relationship with Tumor Location

Katsumori, Tetsuya; Yoshikawa, Tatsuya; Miura, Hiroshi

doi:10.1016/j.jvir.2018.11.041

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…In particular, UAE for massively enlarged uterine fibroid could be less effective because of more extensive collateral circulation. Despite this evidence, other reports found diametrically opposite results, reporting a positive correlation between baseline leiomyoma dimension and UAE response and thus suggesting a slightly better outcome of larger fibroids [ 45 , 46 , 47 ]. In particular, they claimed that this different response might be correlated to the different vascularization of small myomas, which is mainly sustained by the collaterals surrounding the uterine walls.…”

Section: Discussionmentioning

confidence: 95%

“…Some earlier reports suggested that larger fibroid size is associated with poorer clinical outcomes and a greater risk of complications due to more extensive collateral circulation [42][43][44]. Conversely, other reports described worse results in smaller myomas, possibly because these are mainly sustained by the collaterals surrounding the uterine walls [45][46][47], and also others found no correlation between baseline uterine dimension and percentage reduction in volume after UAE [48][49][50][51][52].…”

Section: Of 16mentioning

confidence: 99%

See 1 more Smart Citation

Uterine Artery Embolization for the Treatment of Symptomatic Uterine Fibroids of Different Sizes: A Single Center Experience

Cappelli

Mosconi

Cocozza

et al. 2023

JPM

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The present study aimed to evaluate the clinical and radiological 1-year outcomes of uterine artery embolization (UAE) performed in a selected population of women with symptomatic myomas and who do not wish to conceive. Between January 2004 and January 2018, a total of 62 patients with pre-menopausal status and with no wish to conceive in the future underwent UAE for the treatment of symptomatic fibroids. All the patients underwent magnetic resonance imaging (MRI) and/or transvaginal ultrasonography (TV-US) before and after the procedure at 1-year follow-up. Clinical and radiological parameters were recorded, stratifying the population into 3 groups according to the size of the dominant myoma (group 1: <50 mm; group 2: ≥50 and ≤80 mm; group 3: >80 mm). Mean fibroid diameter was significantly reduced (42.6% ± 21.6%) at 1-year follow-up, with excellent improvements in terms of both symptoms and quality of life. No significant difference was observed regarding baseline dimension and the number of myomas. No major complications were reported (2.5%). The present study confirms the safety and efficacy of UAE in the treatment of symptomatic fibroids in pre-menopausal women with no desire to conceive.

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Section: Discussionmentioning

confidence: 95%

Section: Of 16mentioning

confidence: 99%

Uterine Artery Embolization for the Treatment of Symptomatic Uterine Fibroids of Different Sizes: A Single Center Experience

Cappelli

Mosconi

Cocozza

et al. 2023

JPM

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“…57 Similar to this finding, Firouznia et al 58 found that lesion location is not a factor in determining the clinical outcome of UAE. However, a study by Katsumori et al 59 showed that fibroid location within the uterus affects the likelihood of infarction after embolization. More specifically, they found that the anteriorly located fibroids and cervical fibroids have a lower infarction rate after UAE.…”

Section: Discussionmentioning

confidence: 99%

Update on Endovascular Therapy for Fibroids and Adenomyosis

Ozen,

Patel,

Hoffman

et al. 2023

Semin intervent Radiol

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Uterine fibroids and adenomyosis are prevalent benign neoplasms that can lead to serious deleterious health effects including life-threatening anemia, prolonged menses, and pelvic pain; however, up to 40% of women remain undiagnosed. Traditional treatment options such as myomectomy or hysterectomy can effectively manage symptoms but may entail longer hospital stays and hinder future fertility. Endovascular treatment, such as uterine artery embolization (UAE), is a minimally invasive procedure that has emerged as a well-validated alternative to surgical options while preserving the uterus and offering shorter hospital stays. Careful patient selection and appropriate techniques are crucial to achieving optimal outcomes. There have been advancements in recent times that encompass pre- and postprocedural care aimed at enhancing results and alleviating discomfort prior to, during, and after UAE. Furthermore, success and reintervention rates may also depend on the size and location of the fibroids. This article reviews the current state of endovascular treatments of uterine fibroids and adenomyosis.

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Optimizing Fibroid Infarction Rates after Uterine Artery Embolization

Siskin

2019

Journal of Vascular and Interventional Radiology

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Insufficient Leiomyoma Infarction in Uterine Artery Embolization: Relationship with Tumor Location

Cited by 5 publications

References 23 publications

Uterine Artery Embolization for the Treatment of Symptomatic Uterine Fibroids of Different Sizes: A Single Center Experience

Uterine Artery Embolization for the Treatment of Symptomatic Uterine Fibroids of Different Sizes: A Single Center Experience

Update on Endovascular Therapy for Fibroids and Adenomyosis

Optimizing Fibroid Infarction Rates after Uterine Artery Embolization

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