Uterine artery embolization as a treatment for symptomatic uterine fibroids: A review of literature and case report

Seals, Judy Gainey; Jones, Paul A.; Wolfe, Cheryl

doi:10.1111/j.1745-7599.2006.00138.x

Cited by 8 publications

(2 citation statements)

References 21 publications

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“…Previously, some studies have shown that uterine arteries blocked by UAE may reduce blood supply to the ovaries, which may further influence the ovarian function and subsequent fertility. There were reports in the literature regarding adverse events associated with performing UAE for fibroids, including endometrial atrophy and ovarian failure 24. Besides, patients receiving UAE were also at a risk of secondary and uncontrolled vaginal bleeding, which may lead to inevitable hysterectomy 25.…”

Section: Discussionmentioning

confidence: 99%

Analysis on clinical effects of dilation and curettage guided by ultrasonography versus hysteroscopy after uterine artery embolization in the treatment of cesarean scar pregnancy

Qiu¹,

Fu²,

Xu³

et al. 2019

TCRM

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PurposeThe purpose of this study was to investigate the efficiency, complications, and subsequent fertility outcomes of two methods in treating patients with cesarean scar pregnancy (CSP) after receiving uterine artery embolization (UAE) treatment.Patients and methodsA total of 62 CSP patients who visited our hospital and underwent UAE from January 2013 to January 2018 were retrospectively analyzed. Patients were either treated by dilation and curettage (D&C) guided by ultrasonography or hysteroscopy. The differences of related clinical indicators, clinical efficacy, complications, and subsequent fertility outcomes between the two groups were analyzed.ResultsThe rates of therapeutic success of the ultrasonography group and hysteroscopy group were 84.6% and 95.7%, respectively, the difference was not statistically significant (P=0.243). However, the intraoperative blood loss, duration of hospitalization, and overall complications were significantly lower in hysteroscopy group compared with D&C guided by ultrasonography group (P<0.05 for all). Meanwhile, hysteroscopy had the advantage of discovering potential diverticulum in the lower segment of anterior wall of uterus (P<0.001).ConclusionD&C guided by ultrasonography or hysteroscopy for the treatment of CSP after UAE resulted in similarly good clinical outcomes. Compared with treatment of D&C guided by ultrasonography, hysteroscopy had less complications and had the advantages of discovering diverticulum. It can be used as an effective way for the treatment of CSP.

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Section: Discussionmentioning

confidence: 99%

Analysis on clinical effects of dilation and curettage guided by ultrasonography versus hysteroscopy after uterine artery embolization in the treatment of cesarean scar pregnancy

Qiu¹,

Fu²,

Xu³

et al. 2019

TCRM

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show abstract

“…UAE is a minimally invasive, image-guided therapy, in which the blood supply to the uterine fibroid is blocked by catheterization, and the ischemic necrosis of the fibroids is induced by the insertion of embolic particles [13]. The embolic particles are usually composed of polyvinyl alcohol, tris-acryl, or gelatin sponge material.…”

Section: Introductionmentioning

confidence: 99%

Successful Magnetic Resonance Imaging‐Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization

Yoon

Kim

et al. 2010

Obstetrics and Gynecology International

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A 45-year-old premenopausal woman was referred to our clinic due to recurring symptoms of uterine fibroids, nine years after a uterine artery embolization (UAE). At the time of screening, the patient presented with bilateral impairment and narrowing of the uterine arteries, which increased the risk of arterial perforation during repeated UAE procedures. The patient was subsequently referred for magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) treatment. Following the treatment, the patient experienced a significant improvement in symptoms (symptom severity score was reduced from 47 to 12 by 1 year post-treatment). MR images at 3 months showed a 49% decrease in fibroid volume. There were no adverse events during the treatment or the follow-up period. This case suggests that MRgFUS can be an effective treatment option for patients with recurrent fibroids following previous UAE treatment.

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CT-monitored percutaneous cryoablation of uterine fibroids after uterine artery embolization

Zhao

Guo

et al. 2007

Chin. J. Clin. Oncol.

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OBJECTIVE To investigate the effects of percutaneous cryoablation on uterine fibroids using computed tomographic (CT) guidance after uterine artery embolization. METHODS Twelve patients who failed to respond to uterine artery embolization were treated using percutaneous cryoablation. All patients had undergone previous uterine artery embolization an average of 1.2 years (0.7~1.6 years) ago. Two cases had abnormal bleeding, and the other 10 suffered from pressure and/or pelvic pain. Myoma diameters were 4 cm to 16.5 cm. By using CT guidance, 2.0, 2.4, 3.0 or 3.8 mm cryoprobes were placed into the fibroid, and two 15~20 min freezing processes were performed. Hemostasis was achieved only by pressing the incisions for several minutes. MR-imaging was performed before the procedure to measure the size and number of fibroid tumors, and follow-up MR-imaging determined the reduction of the lesions. RESULTS All patients were discharged within 48 h of treatment. Almost no hemorrhage was found in all of the cases. No bladder or bowel injury or significant postsurgery pain was reported. Ice spheres were readily visualized at CT. Beam-hardening artifact from the metal probes was present, but did not interfere with the procedure. Myomas regressed up to 76.3% after 12 months of treatment, and the primary symptoms improved in all treated women. CONCLUSION CT-monitored percutaneous cryoablation is an effective and minimally invasive therapy for symptom relief and fibroid shrinkage after the failure of uterine artery embolization.

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Uterine artery embolization as a treatment for symptomatic uterine fibroids: A review of literature and case report

Abstract: The NP is instrumental in identifying which patients may be appropriate candidates for UAE, educating them about the risks and benefits of the procedure, and managing these patients before and after the procedure.

Cited by 8 publications

References 21 publications

Analysis on clinical effects of dilation and curettage guided by ultrasonography versus hysteroscopy after uterine artery embolization in the treatment of cesarean scar pregnancy

Analysis on clinical effects of dilation and curettage guided by ultrasonography versus hysteroscopy after uterine artery embolization in the treatment of cesarean scar pregnancy

Successful Magnetic Resonance Imaging‐Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization

CT-monitored percutaneous cryoablation of uterine fibroids after uterine artery embolization

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