Limited uterine artery embolization for leiomyomas with tris-acryl gelatin microspheres: 1-year follow-up

Journal of Vascular and Interventional Radiology : JVIR
Paul N M LohleMenno Sluzewski

Abstract

To assess the safety and efficacy of uterine artery embolization (UAE) using large calibrated tris-acryl gelatin microspheres. One hundred fifty-eight women with symptomatic uterine fibroids underwent UAE. Embosphere was used in 105 women and Embogold microspheres in 53 women. Major and minor complications were assessed. At 12 months, relief of symptoms and patient satisfaction were assessed and volume reductions of the uterus and dominant fibroid were calculated. Median age of the subjects was 43 years (mean, 42.3 y; range, 23-53 y). Preprocedural symptoms were heavy menstrual bleeding in 89%, pain in 64%, and bulk related symptoms in 57%. At 12 months follow-up, the proportion of women with heavy menstrual bleeding, pain, and bulk-related symptoms had decreased to 9%, 8%, and 8%, respectively. Patient satisfaction was grouped as follows: very satisfied 57%, satisfied 36%, and not satisfied 7%. Mean uterine and dominant fibroid volumes before UAE were 532 cm(3) and 201 cm(3), respectively. At 12-month follow-up MR imaging, mean uterine volume decreased to 260 cm(3) and mean dominant fibroid volume to 78 cm(3). These differences were statistically significant (P < .0001). There were no procedure-related deaths. No emergency hys...Continue Reading

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Citations

Apr 24, 2009·Cardiovascular and Interventional Radiology·Rubén López-BenítezPeter J Hallscheidt
Oct 19, 2010·Cardiovascular and Interventional Radiology·Ulrike StampflGoetz M Richter
Apr 22, 2010·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·Zahra MalekiRussell Vang
Dec 7, 2013·Cardiovascular and Interventional Radiology·Raj DasAnna-Maria Belli
Sep 29, 2015·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Yun Gyu SongChang-Woon Kim
Nov 19, 2011·Journal de gynécologie, obstétrique et biologie de la reproduction·V KahnJ-P Pelage
Oct 26, 2011·Journal of Vascular and Interventional Radiology : JVIR·Richard D Shlansky-GoldbergMark Rosen
Mar 29, 2011·European Journal of Radiology·Jonathan V P LiawBertrand Janne d'Othée
Mar 1, 2011·Journal of Vascular and Interventional Radiology : JVIR·Nestor Kisilevzky, Henrique Elkis
Nov 30, 2010·Journal of Vascular and Interventional Radiology : JVIR·Albert J SmeetsPaul N M Lohle
Aug 21, 2009·European Journal of Radiology·Boris RadeleffGoetz M Richter
Mar 3, 2009·European Journal of Radiology·Arul GaneshanRaman Uberoi
Jun 24, 2008·Techniques in Vascular and Interventional Radiology·A Laurent
Feb 26, 2008·Journal of Vascular and Interventional Radiology : JVIR·Paul N M LohlePeter F Boekkooi
Jan 15, 2008·Journal of Vascular and Interventional Radiology : JVIR·Pasteur RasuliElaine E Jolly
Jan 15, 2008·Journal of Vascular and Interventional Radiology : JVIR·Thomas J KroenckePaul N M Lohle
Aug 28, 2010·Obstetrics and Gynecology International·Michail S PapadopoulosDimosthenis E Miliaras
Mar 1, 2007·Journal of Vascular and Interventional Radiology : JVIR·James B SpiesJames F Benenati
Sep 3, 2013·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Yun Gyu SongChang-Woon Kim
Mar 1, 2010·Einstein·Nestor Hugo KisilevzkyFrancielle Aparecida Gusmao
Sep 29, 2018·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Tetsuya KatsumoriHiroshi Miura
Jan 25, 2019·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Melody TaheriStephen Derek Quinn
Jan 21, 2021·Journal of Vascular and Interventional Radiology : JVIR·Tetsuya KatsumoriMitsuhiro Hisano
Mar 2, 2021·Materials Science & Engineering. C, Materials for Biological Applications·Zuoxiang DongChangjiang Fan

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