Uterine artery embolization (UAE) is an established, organ-preserving, safe and effective procedure in the therapeutic spectrum treatment of fibroid-related symptoms. The aim of UAE is the reduction or elimination of fibroid-related symptoms, but not the removal of the myoma. However, it also accomplishes a reduction of the size of the fibroid. There is a consensus between the disciplines of gy...

Background We report two unusual separate complications after uterine artery embolization for a late postpartum haemorrhage. This report appeared important to us in view of the apparent absence of any other publications on this topic. Case presentation We report the case of a 25-year-old woman, gravida 3, para 1, admitted for uterine bleeding 7 days after a spontaneous delivery at term, in ou...

BACKGROUND Anatomic variants of the uterine artery are rare, with the absence of one of the uterine arteries presumably being the most abundant variant. A duplicated uterine artery is mentioned in the medical literature, but to the best of our knowledge, an angiographic study has never been published. A partially duplicated uterine artery is an extremely rare variant not previously mentioned in...

OBJECTIVE To evaluate the endometrial alterations related to embolization of uterine arteries for the treatment of symptomatic uterine leiomyomatosis (pelvic pain and/or uterine bleeding) by means of high-field (3-Tesla) magnetic resonance. METHODS This is a longitudinal and prospective study that included 94 patients with a clinical and imaging diagnosis of symptomatic uterine leiomyomatosis...

OBJECTIVE To evaluate the use of a new spherical particle of polyvinyl alcohol and polyvinyl acetate (PVA-PVAc) for uterine artery embolization in patients with myoma with surgical indication. METHODS twelve patients underwent uterine myoma embolization with PVA-PVAc particles. Three to nine months later, they were submitted to laparotomy with myomectomy. We analyzed the following parameters:...

BACKGROUND & OBJECTIVE Uterine fibroid embolization is an effective treatment alternative for uterine fibroids. However, amenorrhea after uterine fibroid embolization occurs in some patients. This study was to investigate the causes of amenorrhea after uterine fibroid embolization. METHODS Bilateral transcatheter uterine artery embolization was performed in 487 patients with uterine fibroids....

IN the March 2003 issue of Clinical Obstetrics and Gynecology (1), Dr. Bruce McLucas advocated that gynecologists learn the skills to perform the procedure of uterine artery embolization (UAE) as treatment for symptomatic leiomyomas. Although few gynecologists currently have the advanced, specialized catheter and guide wire skills necessary to perform this procedure, McLucas describes a route t...

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 ...