Successful fibroid embolization of pelvic and inferior mesenteric artery collaterals after previous uterine artery embolization

Acta Radiologica
Shaheen DixonSusan Anthony

Abstract

A 47-year-old woman with a history of myomectomies and uterine artery embolization 15 years previously presented with increasing menorrhagia and dysmenorrhea. Magnetic resonance imaging (MRI) demonstrated multiple enhancing fibroids, extensive uterine supply from what appeared to be patent uterine arteries, and significant supply from what appeared to be the left ovarian artery. Aortography demonstrated no ovarian supply, but extensive collateral supply from distal branches of the inferior mesenteric artery (IMA), with further collateral supply from the anterior division of both internal iliac arteries. There was no filling of the uterine arteries distal to the coils. Embolization was performed with technical and clinical success. This case highlights the potential for recruitment of collateral vessels following coil embolization and is the first reported case of successful fibroid embolization from distal IMA branches.

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Citations

Jul 31, 2013·Journal of Vascular and Interventional Radiology : JVIR·Suyon ChangDo Yun Lee
Jan 19, 2015·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Jennifer CampbellKong T Tan
Feb 26, 2015·American Journal of Obstetrics and Gynecology·Sanjoy K BhattacharyyaSudhir Adhikari
Oct 25, 2016·Journal of Minimally Invasive Gynecology·Cho Hee KimHyeon Chul Kim
Feb 21, 2014·Cardiovascular and Interventional Radiology·Christopher I SongHearns W Charles
May 9, 2012·Cardiovascular and Interventional Radiology·Joon Ho KwonDo Yun Lee

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Methods Mentioned

BETA
hysterectomy

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