Uterine Artery Embolization for Symptomatic Leiomyomata

Untitled

“…An IV access is obtained and medications are administered for pain and nausea prophylaxis. The insertion of a Foley catheter and administration of prophylactic antibiotic coverage are not recommended [77,81].…”

“…After treatment, fatigue is common [82,83]; most patients experience moderate to severe ischemic pain, decreasing after 12 h and usually resolving within one week [83]: It is easily controlled with NSAIDs and intravenous patient-controlled analgesia, but epidural anesthesia may be required [77]. A rather common cluster of symptoms referred to as "post-embolic syndrome" sometimes occurs within the first day, including pelvic pain, nausea, vomiting, malaise, loss of appetite and low-grade fever [82,83].…”

“…A rather common cluster of symptoms referred to as "post-embolic syndrome" sometimes occurs within the first day, including pelvic pain, nausea, vomiting, malaise, loss of appetite and low-grade fever [82,83]. It is managed with NSAIDs and, unless complications occur, lasts for less than one week [77]. Some menstrual irregularities, spotting and light vaginal bleeding can occur, but within 2-3 months the menstrual cycle should return normal [74,84].…”

Preprocedural MRI and MRA in planning fibroid embolization

“…Pedunculated subserosal fibroids: Traditionally, these have been considered a relative contraindication to UAE due to potential risk of detachment, when the uterine pedicle is narrow (2). However, in two studies comprising of 28 patients with pedunculated, subserosal fibroids, no cases had fibroid detachment and clinical outcomes were comparable to patients with other fibroid locations (16,17).…”

Insufficient Leiomyoma Infarction in Uterine Artery Embolization: Relationship with Tumor Location

“…Uterine artery embolization (UAE) is a safe and effective treatment for symptomatic uterine leiomyoma. This minimally invasive procedure provides tumor infarction, leading to volume reductions and improvements in symptoms in most patients (1,2). However, despite appropriate procedures, insufficient infarction of some tumors has been reported (3,4).…”