Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000068.xml
Semin intervent Radiol 2004; 21(1): 37-42
DOI: 10.1055/s-2004-831403
DOI: 10.1055/s-2004-831403
Uterine Artery Embolization: State of the Art
Further Information
Publication History
Publication Date:
12 August 2004 (online)
Since the first report in 1995, there has been rapid expansion of uterine artery embolization as a therapy for symptomatic uterine fibroids. The published literature and clinical experience show that this procedure is safe and effective. This article discusses the history of the procedure, current issues in procedure technique, and the state of the literature regarding outcomes of embolization. Current and future research topics also are discussed.
KEYWORDS
Myoma - fibroid uterus - embolization
REFERENCES
- 1 Heaston D K, Mineau D E, Brown B J, Miller F J. Transcatheter arterial embolization for the control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation. AJR Am J Roentgenol. 1979; 133 152-154
- 2 Oliver J A, Lance J S. Selective embolization to control massive hemorrhage following pelvic surgery. Am J Obstet Gynecol. 1979; 135 431-432
- 3 Broder M S, Harris K, Morton S C, Sherbourne C, Brook R H. Uterine artery embolization: a systematic review of the literature and proposal for research. Publication MR-1158 Santa Monica, CA; RAND 1999
- 4 Ravina J H, Bouret J M, Fried D et al.. Value of preoperative embolization of uterine fibroma: report of a multicenter series of 31 cases. Contraception Fertilitie Sexualitie. 1995; 23 45-49
- 5 Ravina J H, Herbreteau D, Ciraru-Vigneron N et al.. Arterial embolisation to treat uterine myomata. Lancet. 1995; 346 671-672
- 6 Ravina J H, Aymard A, Ciraru-Vigneron N et al.. Embolisation artérielle particulaire: un nouveau traitement des hémorragies des léiomyomes utérins. Presse Med. 1995; 24 1754
- 7 Ravina J H, Ciraru-Vigneron N, Aymard A, Ferrand J, Merland J J. Uterine artery embolisation for fibroid disease: results of a 6 year study. Minim Invas Ther Allied Technol. 1999; 8 441-447
- 8 McLucas B, Goodwin S C. A fibroid treatment with promise-and a catch. OBG Management. 1996; 8 53-57
- 9 Goodwin S C, Vedantham S, McLucas B, Forno A E, Perella R. Uterine artery embolization for uterine fibroids: results of a pilot study. J Vasc Interv Radiol. 1997; 8 517-526
- 10 Worthington-Kirsch R L, Hutchins F L, Popky G L. Uterine artery embolization for the management of leiomyomas: quality of life assessment and clinical response. Radiology. 1998; 208 625-629
- 11 Spies J B, Scialli A R, Jha R C et al.. Initial Results from uterine fibroid embolization for symptomatic leiomyomata. J Vasc Interv Radiol. 1999; 10 1149-1157
- 12 Lai A C, Goodwin S C, Bonilla S M et al.. Sexual dysfunction after uterine artery embolization (case report). J Vasc Interv Radiol. 2000; 11 755-758
- 13 Ammann A M, Gomez-Jorge J T, Spies J B. Sexual function after uterine embolization. J Vasc Interv Radiol. 2001; 12 S76
- 14 Wysocki M, Byrd B P, Onze K et al.. Sexual function after uterine fibroid embolization (UFE). J Vasc Interv Radiol. 2001; 12 S77
- 15 Worthington-Kirsch R L, Walker W J, Adler L, Hutchins F L. Anatomic variation in the uterine arteries: a cause of failure of uterine artery embolisation for the management of symptomatic fibroids. Minim Invas Ther Allied Technol. 1999; 8 425-427
- 16 Matson M, Nicholson A, Belli A M. Anastomoses of the ovarian and uterine arteries: a potential pitfall and cause of failure of uterine embolization. Cardiovasc Intervent Radiol. 2000; 23 393-396
- 17 Andrews R T, Bromley P J, Pfister M. Successful embolization of collaterals from the ovarian artery during uterine artery embolization for fibroids: a case report. J Vasc Interv Radiol. 2000; 11 607-610
- 18 Pelage J P, LeDref O, Jacob D et al.. Ovarian artery supply of uterine fibroid. J Vasc Interv Radiol. 2000; 11 535
- 19 Binkert C A, Andrews R T, Kaufman J A. Utility of nonselective abdominal aortography in demonstrating ovarian artery collaterals in patients undergoing uterine artery embolization for fibroids. J Vasc Interv Radiol. 2001; 12 841-845
- 20 Saraiya P V, Chang T C, Pelage J P, Spies J B. Uterine artery replacement by the round ligament artery: an anatomic variant discovered during uterine artery embolization for leiomyomata. J Vasc Interv Radiol. 2002; 13 939-941
- 21 Razavi M K, Rhee J, Sze D Y, Kee S T, Semba C P, Dake M D. Recanalization of uterine arteries after embolization for symptomatic leiomyomas: evidence on MRA. J Vasc Interv Radiol. 2000; 11 S286
- 22 Siskin G P, Eaton L A, Stainken B F et al.. Pathologic findings in a uterine leiomyoma after bilateral uterine artery embolization. J Vasc Interv Radiol. 1999; 10 891-894
- 23 McLucas B, Goodwin S C, Kaminsky D. The embolised fibroid uterus. Minim Invas Ther Allied Technol. 1998; 7 267-271
- 24 Levine A, Kim D, Termin P, Worthington-Kirsch R L. Comparison of embosphere and PVA embolization agents in a porcine renal model. Cardiovasc Interv Radiol. 2001; 24 S168
- 25 Bradley E A, Reidy J F, Forman R G, Jarosz J, Braude P R. Transcatheter uterine artery embolization to treat large uterine fibroids. Br J Obstet Gynaecol. 1998; 105 235-240
- 26 Hutchins F L, Worthington-Kirsch R L, Berkowitz R P. Selective uterine artery embolization as primary treatment for symptomatic leiomyomata uteri: a review of 305 consecutive cases. J Am Assoc Gynecol Laparosc. 1999; 6 279-284
- 27 Goodwin S C, McLucas B, Lee M et al.. Uterine artery embolization for the treatment of uterine leiomyomata: midterm results. J Vasc Interv Radiol. 1999; 10 1159-1165
- 28 Brunereau L, Herbreteau D, Gallas S et al.. Uterine artery embolization in the primary treatment of uterine leiomyomas: technical features and prospective follow-up with clinical and sonographic examinations in 58 patients. AJR Am J Roentgenol. 2000; 175 1267-1272
- 29 Pelage J P, LeDref O, Soyer P et al.. Fibroid-related menorrhagia: treatment with superselective embolization of the uterine arteries and midterm follow-up. Radiology. 2000; 215 428-431
- 30 Ravina J H, Aymard A, Ciraru-Vigneron N, LeDref O, Merland J J. Embolisation arterielle des myomes uterins: resultats a propos de 286 cas. J Gynecol Obstet Biol Reprod. 2000; 29 272-275
- 31 Walker W J, Pelage J P. Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow-up. Br J Obstet Gynaecol. 2002; 109 1262-1272
- 32 Vashisht A, Studd J WW, Carey A H et al.. Fibroid embolisation: a technique not without significant complications. BJOG. 2000; 107 1166-1170
- 33 Stringer N H, Grant T, Park J, Oldham L. Ovarian failure after uterine artery embolization for treatment of myomas. J Am Assoc Gynecol Laparosc. 2000; 7 395-400
- 34 Stringer N H, DeWhite A, Park J et al.. Laparoscopic myomectomy after failure of uterine artery embolization. J Am Assoc Gynecol Laparosc. 2001; 8 583-586
- 35 Godfrey C D, Zbella E A. Uterine necrosis after uterine artery embolization for leiomyoma. Obstet Gynecol. 2001; 98 950-952
- 36 Yeagley T J, Goldberg J, Klein T A, Bonn J. Labial necrosis after uterine artery embolization for leiomyomata. Obstet Gynecol. 2002; 100 881-882
- 37 Shashoua A R, Stringer N H, Pearlman J B, Behmaram B, Stringer E A. Ischemic uterine rupture and hysterectomy 3 months after uterine artery embolization. J Am Assoc Gynecol Laparosc. 2002; 9 217-220
- 38 Pelage J P, Walker W J, Le Dref O. Uterine necrosis after uterine artery embolization for leiomyoma. Obstet Gynecol. 2002; 99 676-677
- 39 Davies C, Gibson M, Holt E M, Torrie E P. Amenorrhoea secondary to endometrial ablation and Asherman’s syndrome following uterine artery embolization. Clin Radiol. 2002; 57 317-318
- 40 De Iaco P A, Muzzupapa G, Golfieri R, Ceccarini M, Roset B, Baroncini S. A uterine wall defect after uterine artery embolization for symptomatic myomas. Fertil Steril. 2002; 77 176-178
- 41 Spies J B, Spector A, Roth A R, Baker C M, Mauro L, Murphy-Skrynarz K. Complications after uterine artery embolization for leiomyomas. Obstet Gynecol. 2002; 100 873-880
-
42 Myers ER and the FIBROID Registry Writing Committee .Short term safety outcomes of uterine artery embolization: early results of the CIRREF FIBROID Registry. Presented at: the Meeting of the American Society for Reproductive Medicine, October 14-16, 2002, Seattle, WA
- 43 Abhara S, Spies J B, Scialli A R, Jha R C, Lage J M, Nikolic B. Transcervical expulsion of a fibroid as a result of uterine artery embolization for leiomyomata. J Vasc Interv Radiol. 1999; 10 409-411
- 44 Berkowitz R P, Hutchins F L, Worthington-Kirsch R L. Vaginal expulsion of submucosal fibroids following uterine artery embolization: a report of three cases. J Reprod Med. 1999; 44 373-376
- 45 Jones K, Walker W J, Sutton C. Sequestration and extrusion of intramural fibroids following arterial embolization: a case series. Gynaecologic Endoscopy. 2000; 9 300-313
- 46 McLucas B, Goodwin S, Adler L, Rappaport A, Reed R, Perella R. Pregnancy following uterine artery embolization. Int J Gyn Obstet. 2001; 74 1-7
- 47 Hwang G L, Chen B H, Razavi M K. A single-center study comparing uterine artery embolization with abdominal myomectomy for treatment of myomas. J Vasc Interv Radiol. 2001; 12 S77
- 48 Pinto I T, Chimeno P C, Romo A, Garcia-Molina C, deVicente J M, Paul L. Uterine fibroid embolization versus hysterectomy: a clinical trial. Cardiovasc Interv Radiol. 2002; 25 S195
- 49 Spies J B, Cooper J M, Worthington-Kirsch R L, Lipman J C, Benenati J F, McLucas B. Uterine artery embolization (UAE) using embospheres: initial results of a phase ii comparative study. J Vasc Interv Radiol. 2002; 13 S20
- 50 Sterling K M, Siskin G P, Ponturo M M, Rholl K S, Cooper J M. A multi-center study evaluating the use of Gelfoam only for uterine artery embolization for symptomatic leiomyomata. J Vasc Interv Radiol. 2002; 13 S19
Robert L Worthington-KirschM.D.
Image Guided Surgery Associates, PC, 5735 Ridge Avenue
Suite 106, Philadelphia, PA 19128
Email: kirsch@igsapc.com