Role of Uterine Artery Doppler Flow in Fibroid Embolization

Abstract

Doppler flow measurements can aid in predicting adenomyosis and uterine fibroid embolization failure. Postembolization peak systolic velocity did not show value.

Color Doppler evaluation of changes in uterine perfusion induced by the use of an absorbable cervical tourniquet during open myomectomy

“…[7][8][9] However, data on postmyomectomy uterine perfusion are sparse, 10 with no data in the literature on serial measurements after open myomectomy. Our data report the effect of myomectomy on uterine artery blood flow and the hemodynamic changes associated with a novel absorbable cervical tourniquet.…”

Postembolization Problems and Management

“…Success after UAE is most often described as relief of symptoms, rather than an arbitrary amount of shrinkage (McLucas et al 2002). If the patient has continued growth of myomata, she will obviously be considered a failure.…”

“…10). We have used a CT angiogram of the abdomen and pelvis to help identify the source of the blood supply (Mclucas et al 2002). A repeat UAE with ovarian or other artery supply embolization will often change the result to favorable for the patient.…”

“…We often begin with 500 l PVA particles, moving rapidly to a vial of 700 l particles, followed by 1,000 l particles, and even larger if necessary. Higher particle load and higher numbers of PVA vials used are associated with higher levels of peak systolic velocity (McLucas et al 2002), which can be evaluated preembolization using Doppler flow sonography (Fig. 6).…”

“…In addition, we are not hesitant to place a coil in one of the uterine arteries of patients with large uterii. Total uterine volume is calculated using the largest measurements in the anteroposterior, longitudinal, and transverse planes in the formula for a prolate ellipse (McLucas et al 2002). Particle load is calculated by dividing the volume of uterus by the number of vials of PVA particles used.…”