Consensus Meetings Regarding Uterine Artery Embolization and Focused Ultrasound in Fibroid Treatment: an Analysis

On 10/16/2005, gynecology and radiology specialists met in Berlin for a consensus meeting regarding the use of uterine artery embolization (UAE; fibroid embolization) to treat fibroids [1]. The goal of this meeting was to summarize the current state of knowledge regarding fibroid embolization, which was a new treatment option at that time, and to provide recommendations regarding indication, implementation and follow-up from an interdisciplinary radiological-gynecological standpoint. In 2010, representatives from Austria and Switzerland participated in the discussion for the first time so that consensus recommendations with the support of the professional societies can now be made across borders [2]. In 2013, the consensus meetings were expanded to include an interdisciplinary dialog regarding the use of MR-guided focused ultrasound (MRgFUS [3]) in the treatment of fibroids and have since then been held every two years at the IROS, the three-country meeting of the German, Austrian, and Swiss societies for interventional radiology [4], [5], [6], [7].

• References/Literatur

• 1 Kröncke T, David M, Ricke J. et al. Uterusarterien-Embolisation zur Myombehandlung. Ergebnisse eines radiologisch-gynäkologischen Expertentreffens. Fortschr Röntgenstr 2006; 178: 453-454
• 2 Kröncke T, David M. et al. Uterusarterienembolisation (UAE) zur Myombehandlung – Ergebnisse des 3. radiologisch-gynäkologischen Expertentreffens. Fortschr Röntgenstr 2010; 182: 615-617
• 3 Beck A, David M, Kröncke T. Magnetresonanz-geführter fokussierter Ultraschall zur Myombehandlung – Ergebnisse des ersten radiologisch-gynäkologischen Expertentreffens. Fortschr Röntgenstr 2013; 185: 464-466
• 4 Kröncke T, David M. Magnetic resonance guided focused ultrasound for fibroid treatment – results of the second radiological gynecological expert meeting. Fortschr Röntgenstr 2015; 187: 480-482
• 5 Kröncke T, David M. Magnetic resonance guided focused ultrasound for fibroid treatment – results of the second radiological gynecological expert meeting. Geburtsh Frauenheilk 2015; 77: 436-438
• 6 Kröncke T, David M. Uterine artery embolization (UAE) for fibroid treatment – results of the 5th radiological gynecological expert meeting. Fortschr Röntgenstr 2015; 187: 483-485
• 7 Kröncke T, David M. Uterine artery embolization (UAE) for fibroid treatment – results of the 5th radiological gynecological expert meeting. Geburtsh Frauenheilk 2015; 75: 439-441
• 8 Kröncke T, David M. Uterine artery embolization (UAE) for fibroid treatment: results of the 6th radiological gynecological expert meeting. Fortschr Röntgenstr 2017; 189: 511-514
• 9 David M, Matzko M. MR-guided focused ultrasound in fibroid treatment – results of the 3rd radiological-gynecological expert meeting. Fortschr Röntgenstr 2017; 189: 515-518
• 10 van der Kooij SM, Bipat S, Hehenkamp WJK. et al. Uterine artery embolization versus surgery in the treatment of symptomatic fibroids: a systematic review and metaanalysis. Am J Obstet Gynecol 2011; 205: 317.e1-317.e18
• 11 Gupta JK, Sinha A, Lumsden MA. et al. Uterine artery embolization for symptomatic uterine fibroids. Cochrane Database Syst Rev 2014; (12) CD005073
• 12 de Bruijn AM, Ankum WM, Reekers JA. et al. Uterine artery embolization vs. hysterectomy in the treatment of symptomatic uterine fibroids: 10-year outcomes from the randomized EMMY trial. Am J Obstet Gynecol 2016; 215: 745.e1-745.e12
• 13 Nederlandse Vereniging voor Radiologie/Nederlandse Vereniging voor Obstetrie en Gynaecologie. Hevig menstrueel bloedverlies (HMB). 2013 Online: http://richtlijnendatabase.nl/richtlijn/hevig_menstrueel_&%236;bloedverlies/hevig_menstrueel_bloedverlies_-_startpagina.html last access: 25.03.2017
• 14 Marret H. et al. Therapeutic management of uterine fibroid tumors: updated French guidelines. Eur J Obstet Gynecol Reprod Biol 2012; 165: 156-164
• 15 Indication and technics of hysterectomy for benigne diseases. Guideline of the German Society of Gynecology and Obstetrics (AWMF Registry No. 015/077, March 2015). Online: http://www.awmf.org/leitlinien/detail/ll/015-070.html