How effective is The Nonsurgical Management of Uterine Myomas?

To begin with, uterine artery embolization (UAE) is a nonsurgical procedure that uses transcutaneous unilateral common femoral artery approach with the Seldinger technique. Both uterine arteries are selectively catheterized with a catheter or micro-catheter [11,22-24]. The tip of the catheter or microcatheter is placed beyond the origin of the cervicovaginal branch, in order to exclude it from embolization [22,24,25]. Subsequently and under angiographic control, an embolic agent (trisacryl gelatin microspheres, spherical polyvinyl alcohol) is injected and the UAE is completed [7,11,22-27]. The main role of UAE, is the essential reduction in uterine blood flow at the arteriolar level [22,23,26]. In this way, UAE causes irreversible ischemia and leads to necrosis and shrinkage of uterine myomas [11,22,23,26,28].