RSS-Feed abonnieren
DOI: 10.1055/s-0032-1309848
Myomembolisation – State of the Art
Uterine artery embolisation – state of the artPublikationsverlauf
Publikationsdatum:
05. September 2012 (online)
![](https://www.thieme-connect.de/media/rad-u2d/201203/lookinside/thumbnails/10.1055-s-0032-1309848-1.jpg)
Zusammenfassung
Die Myomembolisation ist ein sicheres und effektives minimalinvasives Verfahren zur Therapie des symptomatischen Uterus myomatosus. Sie erweitert das therapeutische Spektrum und ist insbesondere für Frauen mit abgeschlossener Familienplanung und Wunsch nach einem gebärmuttererhaltenden nicht operativen Verfahren geeignet.
Abstract
Symptomatic leiomyomata of the uterus (Fibroids) represent a major health problem in premopausal women and are the leading indication for hysterectomy in Germany. Uterine artery embolisation (UAE) has emerged as a uterine-sparing treatment alternative for women wishing to retain their uterus. A high clinical success rate of UAE to control fibroid related symptoms and improve quality-of-life as well as a low complication rate has been reported in the literature over the last 10 years. This article provides an overview on UAE for uterine fibroids.
-
Literatur
- 1 Day Baird D, Dunson DB, Hill MC et al. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol 2003; 188: 100-107
- 2 Gupta S, Jose J, Manyonda I. Clinical presentation of fibroids. Best Practice & Research Clinical Obstetrics & Gynaecology 2008; 22: 615-626
- 3 Kröncke T, David M. Uterine artery embolization (UAE) for myoma treatment-results of the 3rd radiologic gynecologic expert meeting. Rofo 2010; 182: 615-617
- 4 Spies JB, Myers ER, Worthington-Kirsch R et al. The FIBROID Registry: symptom and quality-of-life status 1 year after therapy. Obstet Gynecol 2005; 106: 1309-1318
- 5 Smeets AJ, Nijenhuis RJ, Boekkooi PF et al. Safety and effectiveness of uterine artery embolization in patients with pedunculated fibroids. J Vasc Interv Radiol 2009; 20: 1172-1175
- 6 Scheurig-Muenkler C, Poellinger A, Wagner M et al. Ovarian Artery Embolization in Patients With Collateral Supply to Symptomatic Uterine Leiomyomata. Cardiovasc Intervent Radiol 2011; 34: 1199-1207
- 7 Hu NN, Kaw D, McCullough MF et al. Menopause and menopausal symptoms after ovarian artery embolization: a comparison with uterine artery embolization controls. J Vasc Interv Radiol 2011; 22: 710-715
- 8 Mara M, Maskova J, Fucikova Z et al. Midterm clinical and first reproductive results of a randomized controlled trial comparing uterine fibroid embolization and myomectomy. Cardiovascular and Interventional Radiology 2008; 31: 73-85
- 9 Omary RA, Vasireddy S, Chrisman HB et al. The Effect of Pelvic MR Imaging on the Diagnosis and Treatment of Women with Presumed Symptomatic Uterine Fibroids. J Vasc Interv Radiol 2002; 13: 1149-1153
- 10 Rajan DK, Margau R, Kroll RR et al. Clinical utility of ultrasound versus magnetic resonance imaging for deciding to proceed with uterine artery embolization for presumed symptomatic fibroids. Clin Radiol 2011; 66: 57-62
- 11 Spielmann AL, Keogh C, Forster BB et al. Comparison of MRI and sonography in the preliminary evaluation for fibroid embolization. AJR Am J Roentgenol 2006; 187: 1499-1504
- 12 Galvez JA, McCarthy S, Weinreb J et al. Comparison of MRI outcomes of uterine artery embolization for uterine leiomyoma using tris-acryl gelatin microspheres, polyvinyl alcohol spheres, and polyvinyl alcohol particles. J Comput Assist Tomogr 2008; 32: 356-361
- 13 Kroencke TJ, Scheurig C, Lampmann LE et al. Acrylamido polyvinyl alcohol microspheres for uterine artery embolization: 12-month clinical and MR imaging results. J Vasc Interv Radiol 2008; 19: 47-57
- 14 Vorwerk D, Rosen T, Keller E et al. Evolution of inflammatory parameters after fibroid embolization. Rofo 2003; 175: 253-257
- 15 Spies JB, Spector A, Roth AR et al. Complications after uterine artery embolization for leiomyomas. Obstet Gynecol 2002; 100: 873-880
- 16 Scheurig-Muenkler C, Lembcke A, Froeling V et al. Uterine artery embolization for symptomatic fibroids: long-term changes in disease-specific symptoms and quality of life. Human Reproduction 2011; 36: 2036-2042
- 17 van der Kooij SM, Hehenkamp WJK, Volkers NA et al. Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 5-year outcome from the randomized EMMY trial. American Journal of Obstetrics and Gynecology 2010; 203: 105-1-q3
- 18 Spies JB, Bruno J, Czeyda-Pommersheim F et al. Long-term outcome of uterine artery embolization of leiomyomata. Obstet Gynecol 2005; 106: 933-939
- 19 Moss JG, Cooper KG, Khaund A et al. Randomised comparison of uterine artery embolisation (UAE) with surgical treatment in patients with symptomatic uterine fibroids (REST trial): 5-year results. BJOG: An International Journal of Obstetrics & Gynaecology 2011; 118: 936-944