An Academic Tertiary Referral Center's Experience with a Vascular Surgery-Based Uterine Artery Embolization Program

Annals of Vascular Surgery
Naiem NassiriGloria A Bachmann

Abstract

Despite growing endovascular experience within the vascular surgery community, some catheter-based interventions-such as uterine artery embolization (UAE)-remain outside the clinical scope of most vascular surgeons, owing in part to established referral patterns and limited awareness among referring colleagues. We present our experience with a vascular surgery-based, multidisciplinary UAE program at an academic tertiary referral center. In a collaborative effort between vascular surgeons and gynecologists, a pelvic vascular disease program has been established to provide palliative, prophylactic, and therapeutic embolizations including, but not limited to, UAE. For UAE, inclusion criteria are women over the age of 18 years with symptomatic uterine fibroids demonstrated on magnetic resonance imaging and a negative endometrial biopsy. Exclusion criteria are desire for future pregnancy and previous embolization(s). Technique and perioperative protocol is presented. Data including symptom resolution, reintervention rates, and complications were prospectively gathered and retrospectively reviewed. Over an 18-month period, 30 patients with symptomatic fibroids were referred for potential UAE. Five patients were excluded because of un...Continue Reading

Citations

Jun 4, 2020·Current Opinion in Obstetrics & Gynecology·Annie KimJa Hyun Shin

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