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Uterine Artery Embolization

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IR Playbook

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Abstract

Uterine artery embolization (UAE) is a minimally invasive technique used to treat uterine fibroids, adenomyosis, and arteriovenous malformations. Fibroids are tumors that arise from the uterine smooth muscle and can cause significant pressure and bleeding symptoms for women. UAE is also a lifesaving procedure for postpartum hemorrhage or high-risk patients with placental abnormalities.

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References

  1. Bozini N, Baracat EC. The history of myomectomy at the Medical School of University of Sao Paulo. Clinics (Sao Paulo). 2007;62(3):209–10.

    Article  Google Scholar 

  2. Aleksandrovych V, Bereza T, Sajewicz M, Walocha JA, Gil K. Uterine fibroid: common features of widespread tumor (review article). Folia Med Cracov. 2015;55(1):61–75.

    PubMed  Google Scholar 

  3. Levy G, Hill MJ, Beall S, Zarek SM, Segars JH, Catherino WH. Leiomyoma: genetics, assisted reproduction, pregnancy and therapeutic advances. J Assist Reprod Genet. 2012;29(8):703–12.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Stewart EA. Clinical practice. Uterine fibroids. N Engl J Med. 2015;372(17):1646–55.

    Article  CAS  PubMed  Google Scholar 

  5. Marshall LM, Spiegelman D, Goldman MB, Manson JE, Colditz GA, Barbieri RL, et al. A prospective study of reproductive factors and oral contraceptive use in relation to the risk of uterine leiomyomata. Fertil Steril. 1998;70(3):432–9.

    Article  CAS  PubMed  Google Scholar 

  6. Baird DD, Dunson DB. Why is parity protective for uterine fibroids? Epidemiology. 2003;14(2):247–50.

    PubMed  Google Scholar 

  7. Medikare V, Kandukuri LR, Ananthapur V, Deenadayal M, Nallari P. The genetic bases of uterine fibroids; a review. J Reprod Infertil. 2011;12(3):181–91.

    PubMed  PubMed Central  CAS  Google Scholar 

  8. McElin TW, Bird CC. Adenomyosis of the uterus. Obstet Gynecol Annu. 1974;3(0):425–41.

    PubMed  CAS  Google Scholar 

  9. Ferenczy A. Pathophysiology of adenomyosis. Hum Reprod Update. 1998;4(4):312–22.

    Article  CAS  PubMed  Google Scholar 

  10. Sharma K, Bora MK, Venkatesh BP, Barman P, Roy SK, Jayagurunathan U, et al. Role of 3D ultrasound and Doppler in differentiating clinically suspected cases of leiomyoma and adenomyosis of uterus. J Clin Diagn Res. 2015;9(4):QC08–12.

    PubMed  PubMed Central  Google Scholar 

  11. ACOG Practice Bulletin. Alternatives to hysterectomy in the management of leiomyomas. Obstet Gynecol. 2008;112(2 Pt 1):387–400.

    Google Scholar 

  12. Laughlin SK, Hartmann KE, Baird DD. Postpartum factors and natural fibroid regression. Am J Obstet Gynecol. 2011;204(6):496 e1–6.

    Article  Google Scholar 

  13. Viswanathan M, Hartmann K, McKoy N, Stuart G, Rankins N, Thieda P, et al. Management of uterine fibroids: an update of the evidence. Evid Rep Technol Assess (Full Rep). 2007;154:1–122.

    Google Scholar 

  14. Carlson KJ, Miller BA, Fowler FJ Jr. The Maine Women’s health study: II. Outcomes of nonsurgical management of leiomyomas, abnormal bleeding, and chronic pelvic pain. Obstet Gynecol. 1994;83(4):566–72.

    Article  CAS  PubMed  Google Scholar 

  15. Friedman AJ, Daly M, Juneau-Norcross M, Rein MS. Predictors of uterine volume reduction in women with myomas treated with a gonadotropin-releasing hormone agonist. Fertil Steril. 1992;58(2):413–5.

    Article  CAS  PubMed  Google Scholar 

  16. Letterie GS, Coddington CC, Winkel CA, Shawker TH, Loriaux DL, Collins RL. Efficacy of a gonadotropin-releasing hormone agonist in the treatment of uterine leiomyomata: long-term follow-up. Fertil Steril. 1989;51(6):951–6.

    Article  CAS  PubMed  Google Scholar 

  17. Amirikia H, Evans TN. Ten-year review of hysterectomies: trends, indications, and risks. Am J Obstet Gynecol. 1979;134(4):431–7.

    Article  CAS  PubMed  Google Scholar 

  18. Gambone JC, Reiter RC, Lench JB, Moore JG. The impact of a quality assurance process on the frequency and confirmation rate of hysterectomy. Am J Obstet Gynecol. 1990;163(2):545–50.

    Article  CAS  PubMed  Google Scholar 

  19. Keshavarz H, Hillis SD, Kieke BA, Marchbanks PA. Hysterectomy aurveillance – United States, 1994–1999. MMWR. 2002;51(SS05):1–8.

    Google Scholar 

  20. Wallach EE, Vlahos NF. Uterine myomas: an overview of development, clinical features, and management. Obstet Gynecol. 2004;104(2):393–406.

    Article  PubMed  Google Scholar 

  21. Jacoby VL, Jacoby A, Learman LA, Schembri M, Gregorich SE, Jackson R, et al. Use of medical, surgical and complementary treatments among women with fibroids. Eur J Obstet Gynecol Reprod Biol. 2014;182:220–5.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Gupta JK, Sinha A, Lumsden MA, Hickey M. Uterine artery embolization for symptomatic uterine fibroids. Cochrane Database Syst Rev. 2014;(12):CD005073.

    Google Scholar 

  23. Pundir J, Pundir V, Walavalkar R, Omanwa K, Lancaster G, Kayani S. Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy: systematic review and meta-analysis. J Minim Invasive Gynecol. 2013;20(3):335–45.

    Article  PubMed  Google Scholar 

  24. Takeda A, Manabe S, Hosono S, Nakamura H. Preoperative evaluation of submucosal myoma by virtual hysteroscopy. J Am Assoc Gynecol Laparosc. 2004;11(3):404–9.

    Article  PubMed  Google Scholar 

  25. Somigliana E, Vercellini P, Daguati R, Pasin R, De Giorgi O, Crosignani PG. Fibroids and female reproduction: a critical analysis of the evidence. Hum Reprod Update. 2007;13(5):465–76.

    Article  CAS  PubMed  Google Scholar 

  26. Fadare O, Wang SA, Renshaw IL. Does the radiofrequency impedance-controlled endometrial ablation have any morphologic effects on uterine leiomyomata? Report of 3 cases. Diagn Pathol. 2008;3:28.

    Article  PubMed  PubMed Central  Google Scholar 

  27. ACOG Practice Bulletin. Clinical management guidelines for obstetrician-gynecologists. Number 81, May 2007. Obstet Gynecol. 2007;109(5):1233–48.

    Article  Google Scholar 

  28. Ravina JH, Herbreteau D, Ciraru-Vigneron N, Bouret JM, Houdart E, Aymard A, et al. Arterial embolisation to treat uterine myomata. Lancet. 1995;346(8976):671–2.

    Article  CAS  PubMed  Google Scholar 

  29. Worthington-Kirsch RL. Uterine artery embolization: state of the art. Semin Interv Radiol. 2004;21(1):37–42.

    Article  Google Scholar 

  30. Goodwin SC, Spies JB, Worthington-Kirsch R, Peterson E, Pron G, Li S, et al. Uterine artery embolization for treatment of leiomyomata: long-term outcomes from the FIBROID registry. Obstet Gynecol. 2008;111(1):22–33.

    Article  PubMed  Google Scholar 

  31. McLucas B, Voorhees WD, Elliott S. Fertility after uterine artery embolization: a review. Minim Invasive Ther Allied Technol. 2016;25(1):1–7.

    Article  PubMed  Google Scholar 

  32. Siskin GP, Eaton LA Jr, Stainken BF, Dowling K, Herr A, Schwartz J. Pathologic findings in a uterine leiomyoma after bilateral uterine artery embolization. J Vasc Interv Radiol. 1999;10(7):891–4.

    Article  CAS  PubMed  Google Scholar 

  33. Abbara S, Spies JB, Scialli AR, Jha RC, Lage JM, Nikolic B. Transcervical expulsion of a fibroid as a result of uterine artery embolization for leiomyomata. J Vasc Interv Radiol. 1999;10(4):409–11.

    Article  CAS  PubMed  Google Scholar 

  34. Siskin GP, Tublin ME, Stainken BF, Dowling K, Dolen EG. Uterine artery embolization for the treatment of adenomyosis: clinical response and evaluation with MR imaging. AJR Am J Roentgenol. 2001;177(2):297–302.

    Article  CAS  PubMed  Google Scholar 

  35. Kim MD, Kim S, Kim NK, Lee MH, Ahn EH, Kim HJ, et al. Long-term results of uterine artery embolization for symptomatic adenomyosis. AJR Am J Roentgenol. 2007;188(1):176–81.

    Article  PubMed  Google Scholar 

  36. Bibi S, Ghaffar S, Memon S, Memon S. Severe acute maternal morbidity (SAMM) in postpartum period requiring tertiary hospital care. Iran J Reprod Med. 2012;10(2):87–92.

    PubMed  PubMed Central  Google Scholar 

  37. Kim TH, Lee HH, Kim JM, Ryu AL, Chung SH, Seok Lee W. Uterine artery embolization for primary postpartum hemorrhage. Iran J Reprod Med. 2013;11(6):511–8.

    PubMed  PubMed Central  Google Scholar 

  38. Brown BJ, Heaston DK, Poulson AM, Gabert HA, Mineau DE, Miller FJ Jr. Uncontrollable postpartum bleeding: a new approach to hemostasis through angiographic arterial embolization. Obstet Gynecol. 1979;54(3):361–5.

    PubMed  CAS  Google Scholar 

  39. Merland JJ, Houdart E, Herbreteau D, Trystram D, Ledref O, Aymard A, et al. Place of emergency arterial embolisation in obstetric haemorrhage about 16 personal cases. Eur J Obstet Gynecol Reprod Biol. 1996;65(1):141–3.

    Article  CAS  PubMed  Google Scholar 

  40. Lédée N, Ville Y, Musset D, Mercier F, Frydman R, Fernandez H. Management in intractable obstetric haemorrhage: an audit study on 61 cases. Eur J Obstet Gynecol Reprod Biol. 2001;94(2):189–96.

    Article  PubMed  Google Scholar 

  41. Fleming H, Ostör AG, Pickel H, Fortune DW. Arteriovenous malformations of the uterus. Obstet Gynecol. 1989;73(2):209–14.

    PubMed  CAS  Google Scholar 

  42. Kim T, Shin JH, Kim J, Yoon HK, Ko GY, Gwon DI, et al. Management of bleeding uterine arteriovenous malformation with bilateral uterine artery embolization. Yonsei Med J. 2014;55(2):367–73.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Forssman L, Lundberg J, Scherstén T. Conservative treatment of uterine arteriovenous fistula. Acta Obstet Gynecol Scand. 1982;61(1):85–7.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. University of Virginia School of Medicine, Department of Radiology and Medical Imaging, Interventional Radiology Division, Charlottesville, VA, USA

    Nicole A. Keefe & Ziv J Haskal

Authors
  1. Nicole A. Keefe
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  2. Ziv J Haskal
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Editor information

Editors and Affiliations

  1. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Nicole A. Keefe

  2. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Ziv J Haskal

  3. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Auh Whan Park

  4. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    John F. Angle

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Keefe, N.A., Haskal, Z.J. (2018). Uterine Artery Embolization. In: Keefe, N., Haskal, Z., Park, A., Angle, J. (eds) IR Playbook. Springer, Cham. https://doi.org/10.1007/978-3-319-71300-7_28

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  • DOI: https://doi.org/10.1007/978-3-319-71300-7_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71299-4

  • Online ISBN: 978-3-319-71300-7

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