Ovarian Failure after Uterine Artery Embolization for Treatment of Myomas

Stringer, Nelson H.; Grant, Thomas; Park, Julie; Oldham, Lisa

doi:10.1016/s1074-3804(05)60485-9

Cited by 62 publications

(26 citation statements)

References 16 publications

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“…The ovarian and vaginal arteries supply approximately 58% of the blood flow to the uterus, thus preventing total uterine ischemia after UAE. The UAE technique resulted in fibroid shrinkage by 39% to 70% and a clinical response rate of 85% to 90%, but it is limited by radiation exposure, ovarian failure, postembolization syndrome, and potentially fatal complications after treatment [16].…”

Section: Discussionmentioning

confidence: 99%

Midterm follow-up study of laparoscopic dissection of uterine vessels for surgical treatment of symptomatic fibroids

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Midterm follow-up study of laparoscopic dissection of uterine vessels for surgical treatment of symptomatic fibroids

et al. 2004

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“…Future fertility may be compromised by this treatment. Instances whereby canalization and embolization of rare anomalous ovarian artery circulation occurs (the ovary receives arterial blood only from the uterine artery) result in early menopause [39][40][41]. Ordinarily, the ovary receives arterial blood from the ovarian and uterine arteries.…”

Section: Discussionmentioning

confidence: 99%

Near‐fatal uterine hemorrhage during induction chemotherapy for acute myeloid leukemia: A case report of bilateral uterine artery embolization

2004

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Severe transfusion-dependent uterine hemorrhage is a relatively uncommon complication of induction chemotherapy for acute myeloid leukemia (AML). Even less common is the failure of systemic conjugated estrogens in this setting. We report a case of lifethreatening uterine hemorrhage in a 38-year-old woman in the setting of transfusionrefractory thrombocytopenia after completing induction chemotherapy for AML. She experienced dramatic breakthrough uterine hemorrhage despite multiple platelet transfusions, conjugated estrogens, recombinant factor VIIa, '-aminocaproic acid, and intracavitary thrombin-soaked gauze tamponade. At the point of near-exsanguination in the setting of hypotension, hematocrit of 14%, and a platelet count of 3,000/mL, she underwent bilateral uterine artery embolization which proved immediately successful. We review the literature and indications for this procedure in the oncologic patient care setting. Am.

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“…This is sometimes severe enough to require hysterectomy 8,9 . Other major complications include pulmonary embolism 13 , ovarian failure 8,9,16,17 and vaginal expulsion of a submucous myoma after embolisation 18 . Extensive ischaemic necrosis after uterine artery embolisation leading to necrosis of the bladder and vaginal vault necrosis has not been previously reported.…”

Section: Discussionmentioning

confidence: 99%

Massive vault necrosis with bladder fistula after uterine artery embolisation

Elshalakany¹

2003

BJOG: An International Journal of Obstetrics and Gynaecology

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Ovarian Failure after Uterine Artery Embolization for Treatment of Myomas

Cited by 62 publications

References 16 publications

Midterm follow-up study of laparoscopic dissection of uterine vessels for surgical treatment of symptomatic fibroids

Midterm follow-up study of laparoscopic dissection of uterine vessels for surgical treatment of symptomatic fibroids

Near‐fatal uterine hemorrhage during induction chemotherapy for acute myeloid leukemia: A case report of bilateral uterine artery embolization

Massive vault necrosis with bladder fistula after uterine artery embolisation

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