AIM The purpose of this study was to compare the depth of vascular penetration of non-spherical polyvinyl alcohol (PVA) versus trisacryl gelatin microspheres (MS) in women undergoing uterine artery embolization (UAE) immediately before transabdominal myomectomy. MATERIALS AND METHODS A total of 17 patients who had been referred for embolization before myomectomy underwent bilateral uterine ar...

OBJECTIVE To compare the cost and quality-adjusted life-years (QALYs) of hysterectomy, myomectomy, and uterine artery embolization (UAE) for symptomatic control of uterine fibroids. DESIGN A cost-utility analysis conducted by using Markov modeling. SETTING The analysis was conducted from the perspective of Hong Kong society. PATIENT(S) A hypothetical cohort of patients presenting with sym...

Uterine artery embolization (UAE) is popular in some countries for management of postpartum hemorrhage, uterine myoma, and adenomyosis. However, avoidance of complications is important to preserve the uterus. The most serious complication is premature ovarian failure. UAE is advantageous for preserving the uterus for fertility; however, premature ovarian failure negates this advantage by causin...

BACKGROUND Postpartum hemorrhage is the leading cause of severe maternal morbidity and death. A prompt management of uterine artery embolization (UAE) is important for a good outcome. UAE is generally accepted to be a safe and reliable procedure. OBJECTIVE To estimate critical patient characteristics influencing the success of UAE for the treatment of emergent primary postpartum hemorrhage. ...

hepatic artery aneurysms are rare but potentially life threatening. we describe a novel case of a successful endovascular coil embolization of a huge hepatic artery aneurysm. a 67-year-old woman presented with recent abdominal pain that had begun from 2 weeks before referring to our hospital. sonographic and computerized tomographic (ct) findings revealed a huge hepatic artery aneurysm with 95 ...

Obstetrics and Gynecology. Introduction Uterine fibroids are by far the most common indication for hysterectomy. Bleeding, pain, pressure effect, or a combination of these symptoms may force some women with these benign tumors to have hysterectomy, but most women with these benign tumors may be monitored without intervention, and some women may be treated medically. Because many women are uncom...

Smptomatic uterine fibroids are estimated to occur in 25-50% of women of reproductive age, causing severe menstrual cramps, menorrhagia (which can result in anemia), reduced fertility, and/or symptoms of pressure, such as urinary frequency, a feeling of heaviness or bloating, or pain due to nerve compression. There are several treatment options for symptomatic fibroids, including myomectomy, hy...

PURPOSE The purpose of this study was to evaluate the rate of leiomyoma recurrence after uterine artery embolization (UAE) for symptomatic uterine leiomyomas. MATERIALS AND METHODS A prospective study of UAE of uterine leiomyomas has been ongoing at the authors' hospital since 1997. The recurrence rate was assessed in June 2002. Vascular access was obtained via the right common femoral artery...

Uterine necrosis is one of the rarest complications following pelvic arterial embolization for postpartum hemorrhage (PPH). With the increasing incidence of cesarean section and abnormal placental localization (placenta previa) or placental invasion (placenta accreta/increta/percreta), more and more cases of uterine necrosis after embolization are being diagnosed and reported. Pelvic computed t...

OBJECTIVES To evaluate the results of the uterine artery embolization (UAE) for the treatment of uterine fibroids. METHODS Twenty-six patients with ultrasonographic diagnosis of uterine leiomyomata were submitted to UAE with polyvinyl alcohol particles. Imaging and clinical follow-up was performed before the procedure, at 3 months, and 1 year after. RESULTS All procedures but one were techn...