Pregnancy outcomes after uterine artery occlusion: prospective multicentric study

Holub, Z; Mára, Michal; Kužel, D; Jabor, Antonı́n; Mašková, Jana; Eim, Josef

doi:10.1016/j.fertnstert.2007.08.033

Cited by 111 publications

(108 citation statements)

References 26 publications

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“…The long-term reproductive outcomes of UAE and LUAO are uncertain at present. It has been reported that both UAE and LUAO might impair reproductive ability [25,26,27], while Holub et al [28] reported that patients who undergo LUAO have more favorable pregnancy outcomes than patients who undergo UAE. Our study cannot demonstrate the relationship between UAE and reproductive ability due to a too small sample size, but UAE tends to bring more complications.…”

Section: Discussionmentioning

confidence: 99%

Management of Caesarean Scar Pregnancies Using an Intrauterine or Abdominal Approach Based on the Myometrial Thickness between the Gestational Mass and the Bladder Wall

Shao

et al. 2013

Gynecol Obstet Invest

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Aim: To describe our experience with various interventions for caesarean scar pregnancies (CSPs) based on the myometrial thickness between the gestational mass and the bladder. Methods: All patients were initially administered methotrexate. Then, the appropriate therapies hysteroscopy alone or combined with uterine artery embolization (group A) and direct laparoscopy alone or combined with laparoscopic uterine artery occlusion (group B) was selected based on the myometrial thickness between the gestational mass and the bladder. Results: The uteri of all 53 patients with CSPs were conserved; no conversion to laparotomy or blood transfusion was required. Uterine rupture occurred in one case during surgery in group A. The operative time in group B was longer than group A (42 ± 18 vs. 80 ± 33 min; p = 0.022). The two groups were also similar with respect to other characteristics (p > 0.05). Conclusion: Myometrial thickness should be considered during the management of CSPs. Surgical approaches in the treatment of CSPs using 2-mm boundaries may yield an optimal clinical outcome.

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Section: Discussionmentioning

confidence: 99%

Management of Caesarean Scar Pregnancies Using an Intrauterine or Abdominal Approach Based on the Myometrial Thickness between the Gestational Mass and the Bladder Wall

Shao

et al. 2013

Gynecol Obstet Invest

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“…The optimal time to achieve pregnancy after embolization is unclear. A waiting period of 6 months after UAE and before conception, depending on fibroid shrinkage and the progress of uterine wound healing, has been recommended [29].…”

Section: Discussionmentioning

confidence: 99%

“…Women desiring pregnancy were informed of the uncertain effect of embolization on fertility and pregnancy. At least a 6-month interval after embolization and before conception has been recommended [29] depending on fibroid shrinkage and uterine wound healing. We advised patients who wanted to conceive after embolization to wait 1 year.…”

Section: Subjects and Methods From 2001 To 2004 102 Patients (Mean mentioning

confidence: 99%

“…Few articles have focused on the effect of UAE for fibroids and its outcome on future fertility and pregnancy. To the best of our knowledge, pregnancy after UAE has been described in the literature in the form of case reports [17][18][19][20], a review article [21], and retrospective reports of case series [22][23][24][25][26][27][28][29]. As of March 2008, more than 170 patients worldwide had become pregnant after UAE.…”

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confidence: 99%

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Pregnancy After Uterine Artery Embolization for Symptomatic Fibroids: A Series of 15 Pregnancies

Firouznia

Ghanaati

Sanaati³

et al. 2009

American Journal of Roentgenology

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[12,13], and cervical ectopic pregnancy [14][15][16] has been reported.The effects of embolization on ovarian function are important when preservation of fertility is desired. Few articles have focused on the effect of UAE for fibroids and its outcome on future fertility and pregnancy. To the best of our knowledge, pregnancy after UAE has been described in the literature in the form of case reports [17][18][19][20], a review article [21], and retrospective reports of case series [22][23][24][25][26][27][28][29]. As of March 2008, more than 170 patients worldwide had become pregnant after UAE. At a university-affiliated referral hospital in Iran, we evaluated the pregnancies of women who underwent UAE for symptomatic fibroids and desired to become pregnant. Subjects and Methods From Wo m e n's I m ag i ng • O r ig i n a l R e s e a rc h Uterine fibroids are among the most common benign tumors of the female pelvis that cause abnormal menstrual bleeding. Uterine artery embolization (UAE) in the management of uterine myomas was first reported by Ravina et al. in 1995 [1]. Their promising results were confirmed in several uncontrolled cohort studies, which showed an approximately 50% decrease in uterine volume and relief of symptoms in 80-90% of patients [2]. The advantages of UAE include lower cost and more rapid recovery than can be achieved with conventional therapies [3][4][5]. The efficacy of uterine embolization in the management of pelvic hemorrhage has been well documented in obstetrics and gynecology [6][7][8]. Successful pregnancy outcome after embolization for obstetric hemorrhage [9,10] Please see the commentary on this article, which appears on the following pages. W O M E N ' S I M A G I N G PROOF Copyrighted Material For Review Only • Not for DistributionPage Copy OBJECTIVE. The purpose of this study was to report on pregnancies and their outcome after uterine artery embolization for uterine fibroids. SUBJECTS AND METHODS. From 2001 to 2004, 102 patients (mean age, [± SD]35.7 ± 6.4 years; range, 20-48 years) with symptomatic uterine fibroids underwent uterine artery embolization with 500-to 710-µm polyvinyl alcohol particles. The mean uterine volume was 552 ± 649 cm 3 (range, 94-4,656 cm 3 ), and the dominant fibroid size was 228 ± 359 cm 3 (range, 14-2,618 cm 3 ) before the procedure. During the 2-year follow-up period, the patients were asked whether they were trying to achieve pregnancy and whether they were successful. We obtained pregnancy and obstetric records of the pregnant women from physicians' offices and hospitals.RESULTS. Among 102 women who underwent bilateral uterine artery embolization, 23 (22.5%) were seeking to become pregnant, and 14 of the 23 (61%) became pregnant, nine having been nulliparous. One patient had two pregnancies. Fourteen pregnancies were spontaneous, and one was achieved by zygote intrafallopian transfer. Two miscarriages occurred, one in the 12th and one in the 16th week of gestation. The other 13 pregnancies went to term, were uncomplicated, and ended in elective...

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“…Dans l'étude de Chen et al [19], 41 % des femmes ont été enceintes après l'occlusion, mais seules 5 % ont accouché à terme et le taux d'avortement spontané est de 41 %. La série de Holub et al [20] est plus rassurante pour cette technique, avec 10 % d'avortements spontanés, un taux de grossesse de 47 % et l'absence de complication obstétricale particulière. Les données sont donc encore insuffisantes pour recommander cette technique chez les femmes ayant un désir de grossesse.…”

Section: Occlusion Artérielleunclassified

Impact sur la fertilité des traitements conservateurs d’un utérus fibromateux : traitements chirurgicaux et non chirurgicaux

Lucot

Coutty

Lions

2009

Imagerie de la Femme

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Pregnancy outcomes after uterine artery occlusion: prospective multicentric study

Cited by 111 publications

References 26 publications

Management of Caesarean Scar Pregnancies Using an Intrauterine or Abdominal Approach Based on the Myometrial Thickness between the Gestational Mass and the Bladder Wall

Management of Caesarean Scar Pregnancies Using an Intrauterine or Abdominal Approach Based on the Myometrial Thickness between the Gestational Mass and the Bladder Wall

Pregnancy After Uterine Artery Embolization for Symptomatic Fibroids: A Series of 15 Pregnancies

Impact sur la fertilité des traitements conservateurs d’un utérus fibromateux : traitements chirurgicaux et non chirurgicaux

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