uterine artery embolization for treatment of symptomatic fibroids: a review of the evidence

نویسندگان

kavous firouznia advanced diagnostic and interventional radiology research center, tehran university of medical sciences, tehran, ir iran; corresponding author: kavous firouznia, advanced diagnostic and interventional radiology research center, tehran university of medical sciences, tehran, ir iran. tel: +98-2166581579, fax: +98-2166581578, e-mail:

hossein ghanaati advanced diagnostic and interventional radiology research center, tehran university of medical sciences, tehran, ir iran

amir hossein jalali

madjid shakiba advanced diagnostic and interventional radiology research center, tehran university of medical sciences, tehran, ir iran

چکیده

fibroids are the most common benign tumors of the uterus during female reproductive age. uterine artery embolization (uae) using embolic particles (pva, gelfoam) to occlude the uterine arteries, have been reported as a relatively safe, effective, and durable nonsurgical alternative to hysterectomy in diminishing fibroid-related symptoms. to block the arterial blood supply to the fibroid completely, uae is typically performed in both uterine arteries by an experienced interventional radiologist. reduction in menorrhagia has been reported as 80-93 percent and the mean decrease in fibroid size varies from 50-78% in the literature. in our center improvement in menstrual bleeding after 6 months was 80.3%, and uterine fibroids underwent shrinkage of 63.7±33.7% after12 months. complication rate including amenorrhea ranges from 1% - 7% in the literature. uae may be followed by menopause in 1% of cases. nevertheless, it is usually encountered in women in their late 40s. it seems that the future of uae depends on optimal selection of patients according to volume-shrinkage prediction and fertility outcome. although pregnancy is possible after embolization, however neither fertility preservation nor improvement can be guaranteed following uae. indeed, women who desire to become pregnant should be cautioned about potential complications during pregnancy. the aim of this review is to discuss about the efficacy, safety, technique, and choice of embolic agent. also we present the effects of this technique on fertility and pregnancy outcome and also methods for dose reduction during this procedure.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Uterine Artery Embolization for Treatment of Symptomatic Fibroids: A Review of the Evidence

Fibroids are the most common benign tumors of the uterus during female reproductive age. Uterine artery embolization (UAE) using embolic particles (PVA, Gelfoam) to occlude the uterine arteries, have been reported as a relatively safe, effective, and durable nonsurgical alternative to hysterectomy in diminishing fibroid-related symptoms. To block the arterial blood supply to the fibroid complet...

متن کامل

Uterine artery embolization for treatment of symptomatic fibroids.

Over the past decade, uterine artery embolization (UAE) has become a popular alternative treatment for women with symptomatic fibroids who desire uterine preservation and/or the avoidance of surgical intervention. In this article, the history of UAE, preprocedure patient evaluation and patient selection, procedure technique, and expected UAE outcomes are reviewed.

متن کامل

Uterine artery embolization for symptomatic fibroids.

OBJECTIVES The aim of this study was to introduce uterine artery embolization (UAE) as an effective and safe treatment option in patients with symptomatic fibroids. METHODS Sixty-one patients underwent UAE with a 3- and 12-month follow-up. RESULTS The procedure was well tolerated in all patients with the following symptoms improving: heavy bleeding [90% (95% CI 80.21%; 95.4%)]; dysmenorrhea...

متن کامل

I-47: Uterine Artery Embolization for Symptomatic Uterine Fibroids: a Prospective Study on 102 Patients in Iran

Uterine fibroids are benign tumors occurring in 20-50% of women in their reproductive age. They are the most Abstracts of the 12th Royan International Congress on Reproductive Biomedicine frequent indication for hysterectomy at Pre-menopausal age. Fifty percent of fibroids are asymptomatic and require no treatment, but the rest may cause menorrhagia, dysmenorrhoea, dyspareunia, abdominal disten...

متن کامل

Uterine artery embolization versus surgery in the treatment of symptomatic fibroids: a systematic review and metaanalysis.

OBJECTIVE To summarize the evidence on short-, mid-, and long-term results up to 5 years of uterine artery embolization in comparison to surgery. STUDY DESIGN We searched the CENTRAL, MEDLINE and EMBASE databases for randomized clinical trials comparing uterine artery embolization with hysterectomy/myomectomy in premenopausal women with heavy menstrual bleeding caused by symptomatic uterine f...

متن کامل

Uterine artery embolization for the treatment of uterine fibroids.

Uterine artery embolization can be regarded as a less invasive procedure for the treatment of fibroids compared with myomectomy, hysterectomy, and laparoscopic myolysis. The aim of this study was the evaluation of safety and efficacy of uterine artery embolization and of womens' opinion about this treatment. After gynecological examination sixty-nine premenopausal women underwent uterine artery...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian red crescent medical journal

جلد ۱۵، شماره ۱۲، صفحات ۰-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023