Uterine fibroid embolization efficacy and safety: 15 years experience in an elevated turnout rate center

Stasi, Carmine Di; Cina, Alessandro; Rosella, Francesco; Paladini, A.; Amoroso, Sonia; Romualdi, Daniela; Manfredi, Riccardo; Colosimo, Cesare

doi:10.1007/s11547-017-0843-6

Cited by 15 publications

(13 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding gynecological and obstetric diseases, interventional radiologists are very familiar with the pelvic vascular anatomy based on previous experience with embolization for pelvic trauma in addition to the growing experience with uterine fibroid embolization. 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 Most of the interventional procedures are performed percutaneously with little associated patient discomfort and with conscious sedation instead of general anesthesia. 17 …”

Section: Introductionmentioning

confidence: 99%

“…3 ). 3 , 8 , 12 , 16 , 18 In patients affected by gynecological malignancies, endovascular treatment of metrorrhagia could be a valid therapeutic alternative, especially in elderly patients with poor clinical conditions not suitable for surgery. A bilateral and superselective embolization using nonresorbable embolic agents should be performed, except for those cases in which there is infiltration of major vessels causing pseudoaneurysms or fistulas that require embolization.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Interventional radiology in gynecology and obstetric practice: Safety issues

Pinto

Giurazza

Califano

et al. 2021

Seminars in Ultrasound, CT and MRI

View full text Add to dashboard Cite

Interventional radiology is continuing to reshape current practice in many specialties of clinical care and the fields of gynecology and obstetrics are no exception. Imaging skills, clinical knowledge as well as vascular and non-vascular interventional technical ability, are essential to practice interventional radiology effectively. Patient safety is of paramount importance in interventional radiology as in all branches of medicine. Potential failures occur throughout successful procedures and are attributed to a spectrum of errors, including equipment unavailability, planning errors, and communication errors. These are mainly preventable by improved preprocedural planning and teamwork. Of all the targeted and effective actions that can be undertaken to reduce adverse events, the use of safety checklists might have a prominent role. The advantage of a safety checklist for interventional radiology is that it guarantees that human error in terms of forgetting key steps in patient preparation, intraprocedural care, and postoperative care are not forgotten.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Interventional radiology in gynecology and obstetric practice: Safety issues

Pinto

Giurazza

Califano

et al. 2021

Seminars in Ultrasound, CT and MRI

View full text Add to dashboard Cite

show abstract

“…Embolization is a minimally invasive treatment, frequently using particles, to block blood flow in the targeted arteries to prevent gastrointestinal bleeding 1,2 or to starve tumors of oxygen and nutrients. 3,4 Chemoembolization involves combining chemotherapeutics with particle embolics to target high doses of anticancer drugs to tumors and, thereby, substantially reduce systemic side effects. 5 Conventional embolization therapy is usually performed under X-ray guidance, i.e., X-ray fluoroscopy or computed tomography (CT), to guide delivery of the embolic agents to the target regions.…”

Section: Introductionmentioning

confidence: 99%

Microfluidic-prepared, monodisperse, X-ray-visible, embolic microspheres for non-oncological embolization applications

Beh

Weiss

et al. 2020

Lab Chip

View full text Add to dashboard Cite

show abstract

“…Numerous single-center studies investigated the effectiveness of UAE and found the procedure to be successful at reducing or eliminating symptoms while also producing minimal complications [6][7][8][9]. However, these studies did not compare outcomes to alternative treatment methods.…”

Section: Introductionmentioning

confidence: 99%

Comparing Perioperative Outcomes of Uterine Artery Embolization and Hysterectomy in Insurer and Demographically Diverse Populations: A Retrospective, Multi-Center Database Study

Lavian¹,

Sighary²,

Mooney³

et al. 2020

Cureus

View full text Add to dashboard Cite

Introduction: Past studies comparing perioperative outcomes of hysterectomy (HYST) and uterine artery embolization (UAE) do not control for demographically and insurer diverse populations. This study sought to identify the 30-day readmission, 15-day complication, and minimum 1-year surveillance reintervention rates of diverse, propensity matched patients undergoing UAE or HYST for uterine leiomyoma. Methods: Adults from the New York's Statewide Planning and Research Cooperative System (SPARCS) database 2009-2013 who underwent HYST or UAE for uterine leiomyoma were retrospectively reviewed and 1:1 propensity matched. Univariate analysis compared demographics, complications, readmissions, and reintervention rates. Binary logistic and linear regression models identified independent predictors of outcomes. Results: A total of 682 patients were identified, where the number (n) of patients in each cohort was n=341, HYST, and n=341, UAE. Significance levels are shown with p values. No significant differences were identified between HYST and UAE demographics, complication (2.60% HYST vs 2.90% UAE, p=0.816) or readmission rates (3.20% HYST vs 3.80% UAE, p=0.678); 0.30% of UAE patients had a reintervention UAE and 2.90% of UAE patients had reintervention hysterectomy. HYST patients had a significantly longer average length of stay (2.59 days HYST vs 1.63 days UAE, p<0.001). The Deyo-Charlson (Deyo) comorbidity score positively predicted any complication with odds ratio=34.262, 95% confidence interval [4.938, 237.725], and p<0.001, but did not predict readmissions. Conclusion: HYST patients had significantly longer hospital stays. UAE and HYST had comparable readmission and complication rates. The Deyo comorbidity score was a significant predictor of any complication. This study supports the safety and efficacy of UAE when compared to HYST in demographic and insurer diverse populations.

show abstract

Uterine fibroid embolization efficacy and safety: 15 years experience in an elevated turnout rate center

Abstract: UFE represents an excellent alternative to surgical treatment: it is safe, tolerable and effective both in short and long term, with evident advantages in economic and social terms.

Cited by 15 publications

References 72 publications

Interventional radiology in gynecology and obstetric practice: Safety issues

Interventional radiology in gynecology and obstetric practice: Safety issues

Microfluidic-prepared, monodisperse, X-ray-visible, embolic microspheres for non-oncological embolization applications

Comparing Perioperative Outcomes of Uterine Artery Embolization and Hysterectomy in Insurer and Demographically Diverse Populations: A Retrospective, Multi-Center Database Study

Contact Info

Product

Resources

About