Semin intervent Radiol 2000; Volume 17(Number 03): 237-246
DOI: 10.1055/s-2000-9411
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Uterine Artery Embolization: An Overview

Scott C. Goodwin1 , Richard A. Reed2
  • 1University of California Los Angeles
  • 2Daniel Freeman Memorial Hospital, Los Angeles, California
Further Information

Publication History

Publication Date:
31 December 2000 (online)

ABSTRACT

This article offers an overview of fibroid embolization, including the history, technique, indications, complications, and results.

REFERENCES

  • 1 Wallach E E. Myomectomy. In: Thompson JD, Rock JA (eds): Te Linde's Operative Gynecology, 7th ed. Philadelphia: Lippincott, 1992, pp 647-662
  • 2 Ravina J H, Herbreteau D, Ciraru-Vigneron N. Arterial embolisation to treat uterine myomata.  Lancet . 1995;  346 671-672
  • 3 Baum S, Nusbaum M, Clearfield H R, Kuroda K, Tureen H J. Angiography in the diagnosis of gastrointestinal bleeding.  Arch Intern Med . 1967;  119 16-24
  • 4 Nusbaum M, Baum S, Blakemore W S. Clinical experience with the diagnosis and management of gastrointestinal hemorrhage by selective mesenteric catheterization.  Ann Surg . 1969;  170 506-514
  • 5 Rosch J, Dotter C T, Brown M J. Selective arterial embolization: A new method for control of gastrointestinal bleeding.  Radiology . 1972;  102 303-306
  • 6 Margolies M N, Ring E J, Waltman A C, Kerr W S, Baum S. Arteriography in the management of hemorrhage from pelvic fractures.  N Engl J Med . 1972;  287 317-321
  • 7 Vedantham S, Goodwin S C, McLucas B, Mohr G. Uterine artery embolization: An underutilized method of controlling pelvic hemorrhage.  Am J Obstet Gynecol . 1997;  176 938-948
  • 8 Greenwood L H, Glickman M G, Schwartz P E, Morse S S, Denny D F. Obstetric and nonmalignant gynecologic bleeding: Treatment with angiographic embolization.  Radiology . 1987;  164 155-159
  • 9 Rosenthal D M, Colapinto R. Angiographic arterial embolization in the management of postoperative vaginal hemorrhage.  Am J Obstet Gynecol . 1985;  151 227-231
  • 10 Heaston D K, Mineau D E, Brown B J, Miller F J. Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation.  AJR . 1979;  133 152-154
  • 11 Pais S O, Glickman M, Schwartz P E, Pingoud E, Berkowitz R. Embolization of pelvic arteries for control of postpartum hemorrhage.  Obstet Gynecol . 1980;  55 754-758
  • 12 Heffner LJ Mennuti M T, Rudoff J C, McLean G K. Primary management of postpartum vulvovaginal hematomas by angiographic embolization.  Am J Perinatol . 1985;  2 204-207
  • 13 Ito M, Matsui K, Katabuchi H, Fujisaki S. Transcatheter embolization of pelvic arteries as the safest method for postpartum hemorrhage.  Int J Gynaecol Obstet . 1986;  24 373-378
  • 14 Yamashita Y, Harada M, Yamamoto H. Transcatheter arterial embolization of obstetric and gynaecological bleeding: Efficacy and clinical outcome.  Br J Radiol . 1994;  67 530-534
  • 15 Gilbert W M, Moore T R, Resnik R, Doemeny J, Chin H, Bookstein J J. Angiographic embolization in the management of hemorrhagic complications of pregnancy.  Am J Obstet Gynecol . 1992;  166 493-497
  • 16 Chin H G, Scott D R, Resnik R, Davis G B, Lurie A L. Angiographic embolization of intractable puerperal hematomas.  Am J Obstet Gynecol . 1989;  160 434-438
  • 17 Yamashita Y, Takahashi M, Ito M, Okamura H. Transcatheter arterial embolization in the management of postpartum hemorrhage due to genital tract injury.  Obstet Gynecol . 1991;  77 160-163
  • 18 Bakri Y N, Linjawi T. Angiographic embolization for control of pelvic genital tract hemorrhage.  Acta Obstet Gynecol Scand . 1992;  71 17-21
  • 19 Mitty H A, Sterling K M, Alvarez M, Gendler R. Obstetric hemorrhage: Prophylactic and emergency arterial catheterization and embolotherapy.  Radiology . 1993;  188 183-187
  • 20 Joseph J F, Mernoff D, Donovan J, Metz S A. Percutaneous angiographic arterial embolization for gynecologic and obstetric pelvic hemorrhage: A report of three cases.  J Reprod Med . 1994;  39 915-920
  • 21 Minck R N, Palestrant A, Chemey W B. Successful management of postpartum vaginal hemorrhage by angiographic embolization.  Ariz Med . 1984;  41 537-538
  • 22 Feinberg B B, Resnik E, Hurt W G, Bump R C, Kubota R, Cho S R. Angiographic embolization in the management of late postpartum hemorrhage: A case report.  J Reprod Med . 1987;  32 929-931
  • 23 Shweni P M, Bishop B B, Hansen J N, Subrayen K T. Severe secondary postpartum hemorrhage after cesarean section.  S Afr Med J . 1987;  72 617-619
  • 24 Finnegan M F, Tisnado J, Bezirdjian D R, Cho S R. Transcatheter embolotherapy of massive bleeding after surgery for benign gynecologic disorders.  Can Assoc Radiol J . 1988;  39 172-177
  • 25 Duggan P M, Jamieson M G, Wattie W J. Intractable postpartum haemorrhage managed by angiographic embolization: Case report and review.  Aust N Z J Obstet Gynaecol . 1991;  31 229-234
  • 26 Haseltine F P, Glickman M G, Marchesi S, Spitz R, Dlugi A, DeCherney A A. Uterine embolization in a patient with postabortal hemorrhage.  Obstet Gynecol . 1984;  63 78S-80S
  • 27 Kivikoski A I, Martin C, Weyman P, Picus D, Giudice L. Angiographic arterial embolization to control hemorrhage in abdominal pregnancy: A case report.  Obstet Gynecol . 1988;  71 456-459
  • 28 Martin J N, Ridgway L E, Connors J J, Sessums J K, Martin R W, Morrison J C. Angiographic arterial embolization and computerized tomography-directed drainage for the management of hemorrhage and infection with abdominal pregnancy.  Obstet Gynecol . 1990;  76 941-945
  • 29 Frates M C, Benson C B, Doubilet P M. Cervical ectopic pregnancy: results of conservative treatment.  Radiology . 1994;  191 773-775
  • 30 Oliver J A, Lance J S. Selective embolization to control massive hemorrhage following pelvic surgery.  Am J Obstet Gynecol . 1979;  135 431-432
  • 31 Sproule M W, Bendomir A M, Grant K A, Reid A W. Embolisation of massive bleeding following hysterectomy despite internal iliac artery ligation.  Br J Obstet Gynaecol . 1994;  101 908-909
  • 32 Ghosh T K. Arteriovenous malformation of the uterus and pelvis.  Obstet Gynecol . 1986;  68 40S-43S
  • 33 Vogelzang R L, Nemcek A A, Skrtic Z, Gorrell J, Lurain J R. Uterine arteriovenous malformations: Primary treatment with therapeutic embolization.  J Vasc Intervent Radiol . 1991;  2 517-522
  • 34 Lobel S M, Meyerovitz M F, Benson C C, Goff B, Bengston J M. Preoperative angiographic uterine artery embolization in the management of cervical pregnancy.  Obstet Gynecol . 1990;  76 938-941
  • 35 Kerr A, Trambert J, Mikhail M, Hodges L, Runowicz C. Preoperative transcatheter embolization of abdominal pregnancy: Report of three cases.  J Vasc Intervent Radiol . 1993;  4 733-735
  • 36 Sieber P R. Bladder necrosis secondary to pelvic artery embolization: Case report and literature review.  J Urol . 1994;  151 422
  • 37 Abbas F M, Currie J L, Mitchell S, Osterman F, Rosenshein N B, Horowitz I R. Selective vascular embolization in benign gynecologic conditions.  J Reprod Med . 1994;  39 492-496
  • 38 Poppe W, Van Assche F A, Wilms G, Favril A, Baert A. Pregnancy after transcatheter embolization of a uterine arteriovenous malformation.  Am J Obstet Gynecol . 1987;  156 1179-1180
  • 39 Ravina J H, Bouret J M, Fried D. Value of preoperative embolization of uterine fibroma: Report of multicenter series of 31 cases.  Contracept Fertil Sex . 1995;  23 45-49
  • 40 McLucas B, Goodwin S, Vedantham S. Embolic therapy for myomata.  Minim Invasive Ther Allied Technol . 1996;  5 336-338
  • 41 Worthington-Kirsch R L, Popky G L, Hutchins F L. Uterine arterial embolization for the management of leiomyomas: Quality-of-life assessment and clinical response.  Radiology . 1998;  208 625-629
  • 42 Bradley E A, Reidy J F, Forman R G, Jarosz J, Braude P R. Transcatheter uterine artery embolisation to treat large uterine fibroids.  Br J Obstet Gynaecol . 1998;  105 235-240
  • 43 Goodwin S C, Vedantham S, McLucas B, Forno A E, Perrella R. Preliminary experience with uterine artery embolization for uterine fibroids.  J Vasc Intervent Radiol . 1997;  8 517-526
  • 44 Ravina J H, Bouret J H, Cirary-Vigneron N. Application of particulate arterial embolization in the treatment of uterine fibromyomata.  Bull Fr Nat Acad Med . 1997;  181(2) 1-10
  • 45 Goodwin S C, Chen G. Uterine artery embolization for uterine fibroids.  Contemp Rev Obstet Gynecol . 1998;  Sept 217-221
  • 46 Vashisht A, Studd J, Carey A, Burn P. Fatal septicemia after fibroid embolization.  Lancet . 1999;  354 307-308
  • 47 Spies J B, Barth K H, Scialli A R, Jha R C, Ascher S M, Lossef S V. Uterine artery embolization for uterine fibroids: initial experience and short term outcome.  Radiology . 1998;  209 184
  • 48 Pelage J P, Le Dret O, Soyer P. Arterial anatomy of the female genital tract: Variations and relevance to transcatheter embolization of the uterus.  AJR . 1999;  172 989-994
  • 49 Nicolic B, Spies J B, Lundstein M. Patient radiation dose associated with uterine artery embolization (UAE) for leiomyomas.  Radiology . 1998;  209 183