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Risiken und Komplikationen der Embolisationstherapie von Uterusmyomen

Der Radiologe volume 43, pages 641–650 (2003)Cite this article

Zusammenfassung

Ziel

Ziel der Arbeit war die Evaluation der beobachteten Komplikationen und Risiken der Myomembolisation. Dazu führten wir eine Literaturrecherche der 50 am häufigsten zitierten Publikationen durch. Zusätzlich befragten wir die in der Myomembolisation sehr erfahrenen Kollegen R. Cursch, J. Lammer, J. Spies und J.P. Pelage hinsichtlich der von ihnen beobachteten Komplikationen und Risiken. Im Vergleich dazu analysierten wir die aufgetretenen Komplikationen in unserem Patientengut.

Ergebnisse

Die häufigsten in der Literatur beschriebenen Komplikationen sind meist mit der Angiographie assoziierte wie Leistenhämatome oder leichte Leistenschmerzen, die sich schnell zurückbilden.

Schlussfolgerung

Die Uterusmyomembolisation (UFE) ist eine sehr sichere und risikoarme angiographische Intervention. Die möglichen Risiken und Komplikationen und die besten Vermeidungsstrategien müssen bekannt sein.

Abstract

Aim

Our goal was to evaluate risks and complication rate of uterine fibroid embolization (UFE).

Results

The most frequent complications reported in the literature are associated with angiography procedure, serious complications are extremely infrequent.

Conclusion

The embolization of fibroids is a safe angiographic intervention. Nethertheless, the interventional radiologist must be aware of the common risks and complication and the strategies to avoid them.

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Affiliations

  1. Abteilung für Radiodiagnostik, Radiologische Universitätsklinik, Ruprecht-Karls-Universität Heidelberg

    B. Radeleff, G. W. Kauffmann & G. M. Richter

  2. Universitäts-Frauenklinik, Ruprecht-Karls-Universität Heidelberg

    S. Rimbach

  3. Abteilung für Radiodiagnostik, Radiologische Universitätsklinik, Ruprecht-Karls-Universität, Im Neuenheimer Feld 110, 69120 , Heidelberg

    B. Radeleff

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  1. B. Radeleff
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  2. S. Rimbach
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  3. G. W. Kauffmann
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  4. G. M. Richter
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Correspondence to B. Radeleff.

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Radeleff, B., Rimbach, S., Kauffmann, G.W. et al. Risiken und Komplikationen der Embolisationstherapie von Uterusmyomen. Radiologe 43, 641–650 (2003). https://doi.org/10.1007/s00117-003-0932-5

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  • DOI: https://doi.org/10.1007/s00117-003-0932-5

Schlüsselwörter

  • Uterusmyom
  • Embolisation
  • MRT
  • Angiographie
  • Komplikationen

Keywords

  • Uterus
  • Leiomyoma
  • Embolization
  • MRI
  • Complications