PMID: 9539283Apr 16, 1998Paper

Transarterial embolization of the uterine arteries: patient reactions and effects on uterine vasculature

Acta Obstetricia Et Gynecologica Scandinavica
A AzizP O Janson

Abstract

Therapeutic embolization of the uterine arteries has been successfully used to manage profuse gynecological hemorrhage. In the present study we aimed to investigate whether embolization of uterine arteries may serve as a safe and effective alternative treatment in cases of menorrhagia in fertile and perimenopausal women. As a first step, we have evaluated the methodology, patient reactions and effects on the uterine vasculature. The distal part of the uterine artery was embolized with polyvinyl alcohol particles via catheterization of the right femoral artery. Total abdominal hysterectomy was performed the next day. Bilateral embolization in two patients resulted in considerable pain that required morphine analgesic medication and epidural analgesia. One patient was embolized unilaterally and experienced only slight discomfort with no need for analgesic medication at all, indicating that unilateral embolization is a well-tolerated method. After embolization, angiography showed stagnant flow in embolized vessels without contrast filling of distal branches. Angiography of the specimen showed normal vascular architecture in non-treated vessels. In treated vessels the main arterial trunks were patent but all smaller branches were o...Continue Reading

Citations

Nov 1, 2000·Fertility and Sterility·B S HurstP B Marshburn
Apr 24, 2008·AJR. American Journal of Roentgenology·Sachit K VermaLaurence Parker
Aug 23, 2000·AJR. American Journal of Roentgenology·G P SiskinE G Dolen
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Nov 15, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Izumi ImaokaKazuro Sugimura
Apr 30, 2010·Cardiovascular and Interventional Radiology·Daigo TanimotoKeiji Umetani
Nov 19, 2010·Cardiovascular and Interventional Radiology·John Martin KirbyMehran Midia
Apr 9, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·R ManchandaA Prentice
Feb 7, 2013·Journal of Vascular and Interventional Radiology : JVIR·Geoffrey R Kaump, James B Spies
May 23, 2003·Journal of Vascular and Interventional Radiology : JVIR·Aki KidoJunji Konishi
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Mar 24, 2004·Journal of Intensive Care Medicine·Robert L Worthington-Kirsch, Gary P Siskin
Aug 5, 2004·Abdominal Imaging·T K HelmbergerM F Reiser
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Jun 17, 2005·The American Journal of Surgical Pathology·Wilko WeichertThomas J Kroencke
Jan 28, 2003·The American Journal of Surgical Pathology·Terence J ColganAndrew Common

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