Uterine artery embolisation for uterine fibroids using a 4F Rosch inferior mesenteric catheter

Cowan, Nigel C.

doi:10.1007/s00330-004-2515-x

Cited by 8 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our mean procedure time of 43.12 min compares well with those studies. However, our mean fluoroscopic time was 37.5 min, which is more compared with reported times of 25.3, 8 13.6 9 and 18.9 min 10 . We attribute this to the learning curve during this study, in carrying out catheterization of bilateral uterine arteries using unilateral femoral puncture.…”

Section: Discussioncontrasting

confidence: 58%

See 1 more Smart Citation

Uterine artery embolization for symptomatic fibroids with imaging follow up

Jain

Srivastava

Sahu

et al. 2007

Australasian Radiology

View full text Add to dashboard Cite

The aim of this study was to determine the effectiveness of uterine artery embolization (UAE) as a primary treatment method in treatment of symptomatic fibroids, whether there are any preembolization MRI characteristics of fibroid predictive of reduction in volume and assess reduction in uterine and dominant fibroid volumes using ultrasound (US) and MRI. Study was carried out in total of 32 patients aged 25-49 years (mean 40.9 years). Uterine and dominant fibroid volume were determined using US and MRI before UAE, MRI and US at 3 months and US alone at 6 and 12 months post-UAE, supplemented by clinical evaluation at interval of 3, 6 and 12 months. Procedure was carried out through unilateral femoral puncture using poly vinyl alcohol (PVA) particles 355-500 microm in size. All 32 patients had successful procedures. Overall, 25 patients responded, giving a clinical success rate of 78.12%. Mean reduction in volume of uterus and fibroid was 33 and 59.7% and 48.9 and 75.5% on US at 3 and 12 months respectively, and 33.3 and 58.6% on MRI at 3 months. Volume reduction on US and MRI at 3 months was highly correlative. There was no statistical difference in size reduction in volume of fibroids, which were hypointense or hyperintense on T2-weighted image (T2WI) on pre-UAE MRI. Uterine artery embolization leads to good technical success and fibroid volume reduction. Ultrasound alone may be used for follow up of patients post-UAE. Preprocedure signal characteristics on T2WI are not predictors of volume reduction after UAE.

show abstract

Section: Discussioncontrasting

confidence: 58%

“…1). The mean total procedure time as reported by other investigators has been 78.4 min for bilateral approach 8 and 44.2 9 and 61 min 10 for unilateral approach. Our mean procedure time of 43.12 min compares well with those studies.…”

Section: Discussionsupporting

confidence: 57%

Uterine artery embolization for symptomatic fibroids with imaging follow up

Jain

Srivastava

Sahu

et al. 2007

Australasian Radiology

View full text Add to dashboard Cite

show abstract

“…Embolization was performed by the unilateral femoral artery approach with catheter and angiographic techniques, similar to uterine fibroid embolization as previously described by Ho and Cowan [11]. After insertion of a 4-French introducer sheath (Terumo Europe, Leuven, Belgium), the targeted internal iliac artery was catheterized using a 4-French Cobra catheter (Glide-cath, Terumo Europe, Leuven, Belgium).…”

Section: Embolization Techniquementioning

confidence: 99%

Acquired uterine vascular malformations: radiological and clinical outcome after transcatheter embolotherapy

et al. 2005

View full text Add to dashboard Cite

The purpose of this retrospective study is to assess the radiological and clinical outcome of transcatheter embolization of acquired uterine vascular malformations in patients presenting with secondary postpartum or postabortion vaginal hemorrhage. In a cohort of 17 patients (mean age: 29.7 years; standard deviation: 4.23; range: 25-38 years) 18 embolization procedures were performed. Angiography demonstrated a uterine parenchymal hyperemia with normal drainage into the large pelvic veins ("low-flow uterine vascular malformation") in 83% (n=15) or a direct arteriovenous fistula ("high-flow uterine vascular malformation") in 17% (n=3). Clinically, in all patients the bleeding stopped after embolization but in 1 patient early recurrence of hemorrhage occurred and was treated by hysterectomy. Pathological analysis revealed a choriocarcinoma. During follow-up (mean time period: 18.8 months; range: 1-36 months) 6 patients became pregnant and delivered a healthy child. Transcatheter embolization of the uterine arteries, using microparticles, is safe and highly effective in the treatment of a bleeding acquired uterine vascular malformation. In case of clinical failure, an underlying neoplastic disease should be considered. Future pregnancy is still possible after embolization.

show abstract

“…The mean total procedure time as reported by other investigators has been 78.4 min for bilateral approach [16] and 44.29 [17] and 61 [18] min for unilateral approach. Fluoroscopic exposure time was 45 min, which is more compared with reported times of 25.3 [16], 13.69 [17] and 18.9 [18] min. In this study intermittent fluoroscopy was used to reduce the exposure.…”

Section: Discussionmentioning

confidence: 79%