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Semin intervent Radiol 2006; 23(4): 350-356
DOI: 10.1055/s-2006-957025
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Clinical Care of Patients Undergoing Uterine Artery Embolization

Thuong G. Van Ha1 , Natasha Li1
  • 1Section of Vascular and Interventional Radiology, University of Chicago Hospitals, Chicago, Illinois.
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Publication History

Publication Date:
29 December 2006 (online)

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ABSTRACT

Uterine artery embolization (UAE) is a relatively recent, safe, and minimally invasive procedure for women experiencing symptomatic fibroids. This process of percutaneous occlusion of blood vessels to disrupt blood flow will consequently impede nourishment to the uterine fibroids and cause infarction. To have proper patient treatment to optimize overall clinical success, guidelines should be rigorously followed. This article will delineate a suitable patient care process for UAE in which subsequent interventional radiologists can employ.

KEYWORDS

Fibroids - uterine artery embolization - uterine fibroid embolization - patient care

REFERENCES

  • 1 Cramer S F, Patel A. The frequency of uterine leiomyomas.  Am J Clin Pathol. 1990;  94 435-438
    CrossrefPubMedGoogle Scholar
  • 2 Myers E R, Barber M D, Gustilo-Ashby T, Couchman G, Matchar D B, McCrory D C. Management of uterine leiomyomata: what do we really know?.  Obstet Gynecol. 2002;  100 8-17
    CrossrefPubMedGoogle Scholar
  • 3 Spies J, Ascher S, Roth A, Kim J, Levy E, Gomez-Jorge J. Uterine artery embolization for leiomyomata.  Obstet Gynecol. 2001;  98 29-34
    CrossrefPubMedGoogle Scholar
  • 4 Worthington-Kirsch R, Spies J, Myers E et al.. The fibroid registry for outcomes data (FIBROID) for uterine embolization.  Obstet Gynecol. 2005;  106 52-59
    CrossrefPubMedGoogle Scholar
  • 5 Schirf B E, Vogelzang R L, Chrisman H B. Complizations of uterine fibroid embolization.  Semin Intervent Radiol. 2006;  23 143-149
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Pelage J P, Soyer P, Le Dref O et al.. Uterine arteries: bilateral catheterization with a single femora approach and a single 5-F catheter-technical note.  Radiology. 1999;  210 573-575
    PubMedGoogle Scholar
  • 7 Pinto I, Chimeno P, Romo A et al.. Uterine fibroids: uterine artery embolization versus abdominal hysterectomy for treatment-a prospective, randomized, and controlled clinical trial.  Radiology. 2003;  226 425-431
    CrossrefPubMedGoogle Scholar
  • 8 Pron G, Mocarski E, Bennett J et al.. Tolerance, hospital stay, and recovery after uterine artery embolization for fibroids: the Ontario Uterine Fibroid Embolization Trial.  J Vasc Interv Radiol. 2003;  14 1243-1250
    PubMedGoogle Scholar
  • 9 Bucek R A, Puchner S, Lammer J. Mid- and long-term quality-of-life assessment in patients undergoing uterine fibroid embolization.  AJR Am J Roentgenol. 2006;  186 877-882
    CrossrefPubMedGoogle Scholar
  • 10 Greenberg M D, Kazamel T I. Medical and socioeconomic impact of uterine fibroids.  Obstet Gynecol Clin North Am. 1995;  22 625-636
    PubMedGoogle Scholar
  • 11 Goldberg J, Pereira L. Pregnancy outcomes following treatment for fibroids: uterine fibroid embolization versus laparoscopic myomectomy.  Curr Opin Obstet Gynecol. 2006;  18 402-406
    CrossrefPubMedGoogle Scholar
  • 12 Marshburn P B, Matthews M L, Hurst B S. Uterine artery embolization as a treatment option for uterine myomas.  Obstet Gynecol Clin North Am. 2006;  33 125-144
    CrossrefPubMedGoogle Scholar
  • 13 Katsumori T, Akazawa K, Mihara T. Uterine artery embolization for pedunculated subserosal fibroids.  AJR Am J Roentgenol. 2005;  184 399-402
    PubMedGoogle Scholar
  • 14 Braude P, Reidy J, Nott V, Taylor A, Forman R. Embolization of uterine leiomyomata: current concepts in management.  Hum Reprod Update. 2000;  6 603-608
    CrossrefPubMedGoogle Scholar
  • 15 Rajan D K, Beecroft J R, Clark T W et al.. Risk of intrauterine infectious complications after uterine artery embolization.  J Vasc Interv Radiol. 2004;  15 1415-1421
    PubMedGoogle Scholar
  • 16 Hurst B S, Stackhouse D J, Matthews M L, Marshburn P B. Uterine artery embolization for asymptomatic uterine myomas.  Fertil Steril. 2000;  74 855-869
    CrossrefPubMedGoogle Scholar
  • 17 Prollius A, de Vries C, Longgenberg E et al.. Uterine artery embolization for symptomatic fibroids.  Int J Gynaecol Obstet. 2004;  84 236-240
    CrossrefPubMedGoogle Scholar
  • 18 Goodwin S C, Vedantham S, McLucas B et al.. Preliminary experience with uterine artery embolization for uterine fibroids.  J Vasc Interv Radiol. 1997;  8 517-526
    CrossrefPubMedGoogle Scholar
  • 19 Klein A, Schwartz M. Uterine artery embolization for the treatment of uterine fibroids: an outpatient procedure.  Am J Obstet Gynecol. 2001;  184 1556-1563
    CrossrefPubMedGoogle Scholar
  • 20 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
    PubMedGoogle Scholar
  • 21 Spies J B, Cooper J M, Wothington-Kirsch R et al.. Outcome from uterine embolization and hysterectomy for leiomyomas: result of a multi-center study.  Am J Obstet Gynecol. 2004;  191 22-31
    CrossrefPubMedGoogle Scholar
  • 22 Hehenkamp W J, Volkers N A, Birine E, Reekers J A, Ankum W M. Pain and return to daily activities after uterine artery embolization and hysterectomy in treatment of symptomatic uterine fibroids: results from the randomized EMMY trial.  Cardiovasc Intervent Radiol. 2006;  29 179-187
    CrossrefPubMedGoogle Scholar
  • 23 Campo S, Campo V, Gambadauro P. Short-term and long-term results of resectoscopic myomectomy with and without pretreatment with GnRH analogs in premenopausal women.  Acta Obstet Gynecol Scand. 2005;  84 756-760
    CrossrefPubMedGoogle Scholar
  • 24 Goodwin S C, Bradley L D, Lipman J C et al.. Uterine artery embolization versus myomectomy: a multicenter comparative study.  Fertil Steril. 2006;  85 14-21
    PubMedGoogle Scholar
  • 25 Dunn T S, Stamm C A, Delorit M, Goldberg G. Clinical pathway for evaluating women with abnormal uterine bleeding.  J Reprod Med. 2001;  46 831-834
    PubMedGoogle Scholar
  • 26 Common A A, Mocarski E J, Kolin A, Pron G, Soucie J. Therapeutic failure of uterine fibroid embolization caused by underlying leiomyosarcoma.  J Vasc Interv Radiol. 2001;  12 1449-1452
    CrossrefPubMedGoogle Scholar
  • 27 Wallach E E, Vlahos N F. Uterine myomas: an overview of development clinical features, and management.  Obstet Gynecol. 2004;  104 393-406
    CrossrefPubMedGoogle Scholar
  • 28 Volkers N A, Hehenkamp W J, Birnie E et al.. Uterine artery embolization in the treatment of symptomatic uterine fibroid tumors (EMMY Trial): periprocedural results and complications.  J Vasc Interv Radiol. 2006;  17 471-480
    CrossrefPubMedGoogle Scholar
  • 29 Al-Fozan H, Tulandi T. Factors affecting early surgical intervention after uterine artery embolization.  Obstet Gynecol Surv. 2002;  57 810-815
    CrossrefPubMedGoogle Scholar
  • 30 Felemban A, Stein L, Tulandi T. Uterine restoration after repeated expulsion of myomas after uterine artery embolization.  J Am Assoc Gynecol Laparosc. 2001;  8 442-444
    CrossrefPubMedGoogle Scholar
  • 31 Park H R, Kim M D, Kim N K et al.. Uterine restoration after repeated sloughing of fibroids or vaginal expulation following uterine artery embolization.  Eur Radiol. 2005;  15 1850-1854
    CrossrefPubMedGoogle Scholar
  • 32 Mehta H, Sandhu C, Matson M, Belli A M. Review of readmission due to complications for uterine fibroid embolization.  Clin Radiol. 2002;  57 1122-1124
    CrossrefPubMedGoogle Scholar
  • 33 Hemingway A P, Allison D J. Complications of embolization: analysis of 410 procedures.  Radiology. 1988;  166 669-672
    PubMedGoogle Scholar
  • 34 Godfrey C D, Zbella E A. Uterine necrosis after uterine artery embolization for leiomyoma.  Obstet Gynecol. 2001;  98 950-952
    CrossrefPubMedGoogle Scholar

Thuong G Van HaM.D. 

Section of Vascular and Interventional Radiology, University of Chicago Hospitals

5840 S. Maryland Avenue, MC 2026, Chicago, IL 60637