Combination of microspheres and gadoteridol for the determination of non-target ovarian embolization during uterine artery embolization. A case series

Background. Uterine myoma is the most common benign tumor of pelvic organs in women. One effective therapies for myomas uterine artery embolization (UAE), which can be associated with unintended ovarian embolization. However, there no certainty about effect on fertility and function since precise evidence-based ways identifying have been described.
 Aim. To develop a highly accurate method during UAE.
 Materials methods. A series clinical cases utilization combined material based paramagnetic contrast agent gadoteridol saturable HepaSphere microspheres are presented.
 Results. On admission, patients underwent magnetic resonance imaging (MRI) enhancement. After UAE this material, another MRI without enhancement was performed in-hospital day 2. In first case, hyperintensive zones were detected stroma. second previously undetected signal up to 6 mm diameter seen stroma left ovary by repeat MRI.
 Conclusion. Using significantly increases accuracy possible detection as soon early postoperative period.