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Embolization of uterine fibroids

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Abstract

Since the first description of uterine artery embolization for the treatment of symptomatic fibroids of the uterus in 1994, this minimally invasive procedure has been increasingly performed in many Western countries. The method is characterized by a high technical success rate of about 85%, a highly significant relief of symptoms, and a very low rate of complications that make this method an appealing alternative to classic treatment options of surgical or laparoscopic myomectomy or hysterectomy. These characteristics have made the procedure well accepted by affected women. Nevertheless, indications and potential contraindications have to be evaluated carefully, especially in patients of childbearing age whenever a considerable number of deliveries is reported after uterine fibroid embolization. This article discusses the clinical background, indications and contraindications, angiographic techniques, potential complications and side effects, and the mid-term results known at present.

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References

  1. VC Jr, Buttram RC Reiter (1981) ArticleTitleUterine leiomyomata: etiology, symptomatology, and management Fertil Steril 36 433–445 Occurrence Handle7026295

    PubMed  Google Scholar 

  2. M Koutsilieris (1992) ArticleTitlePathophysiology of uterine leiomyomas Biochem Cell Biol 70 273–278 Occurrence Handle1323302 Occurrence Handle1:CAS:528:DyaK38XltV2jurs%3D Occurrence Handle10.1139/o92-043

    Article  PubMed  CAS  Google Scholar 

  3. B Vollenhoven (1998) ArticleTitleIntroduction: the epidemiology of uterine leiomyomas Baillieres Clin Obstet Gynaecol 12 169–176 Occurrence Handle10023416 Occurrence Handle1:STN:280:DyaK1M7kslCqtQ%3D%3D Occurrence Handle10.1016/S0950-3552(98)80059-X

    Article  PubMed  CAS  Google Scholar 

  4. D Day Baird DB Dunson MC Hill et al. (2003) ArticleTitleHigh cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence Am J Obstet Gynecol 188 100–107 Occurrence Handle10.1067/mob.2003.99

    Article  Google Scholar 

  5. H Amirikia TN Evans (1979) ArticleTitleTen-year review of hysterectomies: trends, indications, and risks Am J Obstet Gynecol 134 431–437 Occurrence Handle453279 Occurrence Handle1:STN:280:DyaE1M3gs1yjtw%3D%3D

    PubMed  CAS  Google Scholar 

  6. JC Gambone RC Reiter JB Lench JG Moore (1990) ArticleTitleThe impact of a quality assurance process on the frequency and confirmation rate of hysterectomy Am J Obstet Gynecol 163 545–550 Occurrence Handle2386142 Occurrence Handle1:STN:280:DyaK3czltVOitw%3D%3D

    PubMed  CAS  Google Scholar 

  7. K Togashi H Ozasa I Konishi et al. (1989) ArticleTitleEnlarged uterus: differentiation between adenomyosis and leiomyoma with MR imaging Radiology 171 531–534 Occurrence Handle2704819 Occurrence Handle1:STN:280:DyaL1M3gt1Oiuw%3D%3D

    PubMed  CAS  Google Scholar 

  8. S Kawakami T Sagoh H Kumada et al. (1991) ArticleTitleIntravenous leiomyomatosis of uterus: MR appearance J Comput Assist Tomogr 15 686–689 Occurrence Handle2061491 Occurrence Handle1:STN:280:DyaK3M3os1GitA%3D%3D Occurrence Handle10.1097/00004728-199107000-00030

    Article  PubMed  CAS  Google Scholar 

  9. K Togashi S Kawakami I Kimura et al. (1993) ArticleTitleUterine contractions: possible diagnostic pitfall at MR imaging J Magn Reson Imaging 3 889–893 Occurrence Handle8280979 Occurrence Handle1:STN:280:DyaK2c7gvVWqtQ%3D%3D Occurrence Handle10.1002/jmri.1880030616

    Article  PubMed  CAS  Google Scholar 

  10. S Kawakami K Togashi I Konishi et al. (1994) ArticleTitleRed degeneration of uterine leiomyoma: MR appearance J Comput Assist Tomogr 18 925–928 Occurrence Handle7962801 Occurrence Handle1:STN:280:DyaK2M%2FltFyhtw%3D%3D Occurrence Handle10.1097/00004728-199411000-00014

    Article  PubMed  CAS  Google Scholar 

  11. S Kawakami K Togashi N Kojima et al. (1995) ArticleTitleMR appearance of malignant lymphoma of the uterus J Comput Assist Tomogr 19 238–242 Occurrence Handle7890849 Occurrence Handle1:STN:280:DyaK2M7pslOmug%3D%3D Occurrence Handle10.1097/00004728-199503000-00014

    Article  PubMed  CAS  Google Scholar 

  12. ML Kataoka K Togashi I Konishi et al. (1998) ArticleTitleMRI of adenomyotic cyst of the uterus J Comput Assist Tomogr 22 555–559 Occurrence Handle9676445 Occurrence Handle1:STN:280:DyaK1czktFWquw%3D%3D Occurrence Handle10.1097/00004728-199807000-00010

    Article  PubMed  CAS  Google Scholar 

  13. P Burn J McCall R Chinn J Healy (1999) ArticleTitleEmbolization of uterine fibroids Br J Radiol 72 159–161 Occurrence Handle10365066 Occurrence Handle1:STN:280:DyaK1M3ptlCjsg%3D%3D

    PubMed  CAS  Google Scholar 

  14. M Bazot JF Deux N Dahbi J Chopier (2001) ArticleTitle[Myometrium diseases] J Radiol 82 1819–1840 Occurrence Handle11917652 Occurrence Handle1:STN:280:DC%2BD387osVyrsw%3D%3D

    PubMed  CAS  Google Scholar 

  15. JB Spies AR Scialli RC Jha et al. (1999) ArticleTitleInitial results from uterine fibroid embolization for symptomatic leiomyomata J Vasc Interv Radiol 10 1149–1157 Occurrence Handle10527190 Occurrence Handle1:STN:280:DyaK1MvlsVeitg%3D%3D Occurrence Handle10.1016/S1051-0443(99)70212-5

    Article  PubMed  CAS  Google Scholar 

  16. SJ Smith LE Sewall A Handelsman (1999) ArticleTitleA clinical failure of uterine fibroid embolization due to adenomyosis J Vasc Interv Radiol 10 1171–1174 Occurrence Handle10527193 Occurrence Handle1:STN:280:DyaK1MvlsVeitQ%3D%3D Occurrence Handle10.1016/S1051-0443(99)70216-2

    Article  PubMed  CAS  Google Scholar 

  17. WJ Walker JP Pelage C Sutton (2002) ArticleTitleFibroid embolization Clin Radiol 57 325–331 Occurrence Handle12014926 Occurrence Handle1:STN:280:DC%2BD383nsVKksg%3D%3D Occurrence Handle10.1053/crad.2002.0945

    Article  PubMed  CAS  Google Scholar 

  18. GP Siskin ME Tublin BF Stainken et al. (2001) ArticleTitleUterine artery embolization for the treatment of adenomyosis: clinical response and evaluation with MR imaging AJR 177 297–302 Occurrence Handle11461849 Occurrence Handle1:STN:280:DC%2BD3MvhtF2gug%3D%3D

    PubMed  CAS  Google Scholar 

  19. LS Wilcox LM Koonin R Pokras et al. (1994) ArticleTitleHysterectomy in the United States, 1988–1990 Obstet Gynecol 83 549–555 Occurrence Handle8134065 Occurrence Handle1:STN:280:DyaK2c7otFajug%3D%3D Occurrence Handle10.1097/00006250-199404000-00011

    Article  PubMed  CAS  Google Scholar 

  20. JF Reidy EA Bradley (1998) ArticleTitleUterine artery embolization for fibroid disease Cardiovasc Intervent Radiol 21 357–360 Occurrence Handle9853139 Occurrence Handle1:STN:280:DyaK1M%2FntVamsw%3D%3D Occurrence Handle10.1007/s002709900280

    Article  PubMed  CAS  Google Scholar 

  21. LA Lepine SD Hillis PA Marchbanks et al. (1997) ArticleTitleHysterectomy surveillance—United States, 1980–1993 MMWR Surveill Summ 46 1–15 Occurrence Handle1:STN:280:DyaK2svgt1Wmsg%3D%3D

    CAS  Google Scholar 

  22. H Gimbel B Ottesen A Tabor (2002) ArticleTitleDanish gynecologists’ opinion about hysterectomy on benign indication: results of a survey Acta Obstet Gynecol Scand 81 1123–1131 Occurrence Handle12519108 Occurrence Handle10.1034/j.1600-0412.2002.811205.x

    Article  PubMed  Google Scholar 

  23. L Fedele F Parazzini L Luchini et al. (1995) ArticleTitleRecurrence of fibroids after myomectomy: a transvaginal ultrasonographic study Hum Reprod 10 1795–1796 Occurrence Handle8582982 Occurrence Handle1:STN:280:DyaK28%2FjtlWnuw%3D%3D

    PubMed  CAS  Google Scholar 

  24. A Fauconnier C Chapron K Babaki-Fard JB Dubuisson (2000) ArticleTitleRecurrence of leiomyomata after myomectomy Hum Reprod Update 6 595–602 Occurrence Handle11129693 Occurrence Handle1:STN:280:DC%2BD3M7hsVKgtA%3D%3D Occurrence Handle10.1093/humupd/6.6.595

    Article  PubMed  CAS  Google Scholar 

  25. JB Dubuisso A Fauconnier K Babaki-Fard C Chapron (2000) ArticleTitleLaparoscopic myomectomy: a current view Hum Reprod Update 6 588–594 Occurrence Handle11129692 Occurrence Handle1:STN:280:DC%2BD3M7hsVKgtw%3D%3D Occurrence Handle10.1093/humupd/6.6.588

    Article  PubMed  CAS  Google Scholar 

  26. I Pinto P Chimeno A Romo et al. (2003) ArticleTitleUterine fibroids: uterine artery embolization versus abdominal hysterectomy for treatment—a prospective, randomized, and controlled clinical trial Radiology 226 425–431 Occurrence Handle12563136 Occurrence Handle10.1148/radiol.2262011716

    Article  PubMed  Google Scholar 

  27. J Pearson (1987) Preoperative and postoperative care MLBR Pernol (Eds) Current obstetrics and gynaecological diagnosis and treatment Appleton & Lange Norwalk, CT 798–821

    Google Scholar 

  28. AI LaMorte S Lalwani MP Diamond (1993) ArticleTitle Morbidity associated with abdominal myomectomy Obstet Gynecol 82 897–900 Occurrence Handle8233261 Occurrence Handle1:STN:280:DyaK2c%2FltV2rsw%3D%3D

    PubMed  CAS  Google Scholar 

  29. RE Jr Iverson D Chelmow K Strohbehn et al. (1996) ArticleTitleRelative morbidity of abdominal hysterectomy and myomectomy for management of uterine leiomyomas Obstet Gynecol 88 415–419 Occurrence Handle8752251 Occurrence Handle10.1016/0029-7844(96)00218-9

    Article  PubMed  Google Scholar 

  30. V Mais S Ajossa S Guerriero et al. (1996) ArticleTitleLaparoscopic versus abdominal myomectomy: a prospective, randomized trial to evaluate benefits in early outcome Am J Obstet Gynecol 174 654–658 Occurrence Handle8623802 Occurrence Handle1:STN:280:DyaK287ptFyksQ%3D%3D Occurrence Handle10.1016/S0002-9378(96)70445-3

    Article  PubMed  CAS  Google Scholar 

  31. G Lefebvre G Vilos C Allaire et al. (2003) ArticleTitleThe management of uterine leiomyomas J Obstet Gynaecol Can 25 396–418 Occurrence Handle12738981

    PubMed  Google Scholar 

  32. JH Ravina (2001) ArticleTitle[Fibroma: surgical myomectomy or embolization or GnRH analogs? Embolization of uterine fibroma: a new treatment] Gynecol Obstet Fertil 29 66–67 Occurrence Handle11217197 Occurrence Handle1:STN:280:DC%2BD3M7kt1Cmsw%3D%3D

    PubMed  CAS  Google Scholar 

  33. E Shalev PC Leung (2003) ArticleTitleGonadotropin-releasing hormone and reproductive medicine J Obstet Gynaecol Can 25 98–113 Occurrence Handle12577127

    PubMed  Google Scholar 

  34. DK Heaston DE Mineau BJ Brown FJ Jr Miller (1979) ArticleTitleTranscatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation AJR 133 152–154 Occurrence Handle110056 Occurrence Handle1:STN:280:DyaE1M3gs1agsA%3D%3D

    PubMed  CAS  Google Scholar 

  35. JA Jr Oliver JS Lance (1979) ArticleTitleSelective embolization to control massive hemorrhage following pelvic surgery Am J Obstet Gynecol 135 431–432 Occurrence Handle484639

    PubMed  Google Scholar 

  36. TE Velling FJ Brennan LD Hall JT Watabe (2000) ArticleTitleRole of the interventional radiologist in treating obstetric–gynecologic pathology AJR 175 1273–1278 Occurrence Handle11044021 Occurrence Handle1:STN:280:DC%2BD3M%2FisVOqtw%3D%3D

    PubMed  CAS  Google Scholar 

  37. S Vedantham SC Goodwin B McLucas G Mohr (1997) ArticleTitleUterine artery embolization: an underused method of controlling pelvic hemorrhage Am J Obstet Gynecol 176 938–948 Occurrence Handle9125624 Occurrence Handle1:STN:280:DyaK2s3ntVGnsw%3D%3D Occurrence Handle10.1016/S0002-9378(97)70624-0

    Article  PubMed  CAS  Google Scholar 

  38. KA Hausegger H Schreyer H Bodhal (2002) ArticleTitle[Pelvic artery embolization in gynecological bleeding] Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174 809–818 Occurrence Handle12101469 Occurrence Handle1:STN:280:DC%2BD38zlslKqtg%3D%3D Occurrence Handle10.1055/s-2002-32688

    Article  PubMed  CAS  Google Scholar 

  39. JH Ravina JJ Merland D Herbreteau et al. (1994) ArticleTitle[Preoperative embolization of uterine fibroma. Preliminary results (10 cases)] Presse Med 23 1540 Occurrence Handle7824485 Occurrence Handle1:STN:280:DyaK2M7isV2nug%3D%3D

    PubMed  CAS  Google Scholar 

  40. JH Ravina JJ Merland N Ciraru-Vigneron et al. (1995) ArticleTitle[Arterial embolization: a new treatment of menorrhagia in uterine fibroma] Presse Med 24 1754 Occurrence Handle8545421 Occurrence Handle1:STN:280:DyaK287ktVGhtQ%3D%3D

    PubMed  CAS  Google Scholar 

  41. JH Ravina D Herbreteau N Ciraru-Vigneron et al. (1995) ArticleTitleArterial embolisation to treat uterine myomata Lancet 346 671–672 Occurrence Handle7544859 Occurrence Handle1:STN:280:DyaK2MzoslOksA%3D%3D Occurrence Handle10.1016/S0140-6736(95)92282-2

    Article  PubMed  CAS  Google Scholar 

  42. JH Ravina A Aymard N Ciraru-Vigneron et al. (2000) ArticleTitle[Arterial embolization of uterine myoma: results apropos of 286 cases] J Gynecol Obstet Biol Reprod (Paris) 29 272–275 Occurrence Handle1:STN:280:DC%2BD3c3ms1Sguw%3D%3D

    CAS  Google Scholar 

  43. JB Spies SA Ascher AR Roth et al. (2001) ArticleTitleUterine artery embolization for leiomyomata Obstet Gynecol 98 29–34 Occurrence Handle11430952 Occurrence Handle1:STN:280:DC%2BD3MznsVanug%3D%3D Occurrence Handle10.1016/S0029-7844(01)01382-5

    Article  PubMed  CAS  Google Scholar 

  44. EA Bradley JF Reidy RG Forman et al. (1998) ArticleTitleTranscatheter uterine artery embolisation to treat large uterine fibroids Br J Obstet Gynaecol 105 235–240 Occurrence Handle9501794 Occurrence Handle1:STN:280:DyaK1c7mt1Citw%3D%3D Occurrence Handle10.1111/j.1471-0528.1998.tb10060.x

    Article  PubMed  CAS  Google Scholar 

  45. JP Pelage P Soyer O Le Dref et al. (1999) ArticleTitleUterine arteries: bilateral catheterization with a single femoral approach and a single 5-F catheter—technical note Radiology 210 573–575 Occurrence Handle10207447 Occurrence Handle1:STN:280:DyaK1M3itlymtg%3D%3D

    PubMed  CAS  Google Scholar 

  46. B McLucas RA Reed S Goodwin et al. (2002) ArticleTitleOutcomes following unilateral uterine artery embolisation Br J Radiol 75 122–126 Occurrence Handle11893635 Occurrence Handle1:STN:280:DC%2BD387ot12mtQ%3D%3D

    PubMed  CAS  Google Scholar 

  47. JP Pelage O Le Dref P Soyer et al. (1999) ArticleTitleArterial anatomy of the female genital tract: variations and relevance to transcatheter embolization of the uterus AJR 172 989–994 Occurrence Handle10587133 Occurrence Handle1:STN:280:DC%2BD3c%2Flt1CitA%3D%3D

    PubMed  CAS  Google Scholar 

  48. JP Pelage O Le Dref D Jacob et al. (2000) ArticleTitle[Uterine artery embolization: anatomical and technical considerations, indications, results, and complications] J Radiol 81 1863–1872 Occurrence Handle11173756 Occurrence Handle1:STN:280:DC%2BD3M3jtlahsw%3D%3D

    PubMed  CAS  Google Scholar 

  49. SC Goodwin WJ Walker (1998) ArticleTitleUterine artery embolization for the treatment of uterine fibroids Curr Opin Obstet Gynecol 10 315–320 Occurrence Handle9719883 Occurrence Handle1:STN:280:DyaK1czos1emsA%3D%3D Occurrence Handle10.1097/00001703-199808000-00006

    Article  PubMed  CAS  Google Scholar 

  50. SC Goodwin B McLucas M Lee et al. (1999) ArticleTitleUterine artery embolization for the treatment of uterine leiomyomata midterm results J Vasc Interv Radiol 10 1159–1165 Occurrence Handle10527191 Occurrence Handle1:STN:280:DyaK1MvlsVeitw%3D%3D Occurrence Handle10.1016/S1051-0443(99)70213-7

    Article  PubMed  CAS  Google Scholar 

  51. SC Goodwin S Vedantham B McLucas et al. (1997) ArticleTitlePreliminary experience with uterine artery embolization for uterine fibroids J Vasc Interv Radiol 8 517–526 Occurrence Handle9232565 Occurrence Handle1:STN:280:DyaK2szns1Cmtw%3D%3D Occurrence Handle10.1016/S1051-0443(97)70603-1

    Article  PubMed  CAS  Google Scholar 

  52. RL Worthington-Kirsch GL Popky FL Jr Hutchins (1998) ArticleTitleUterine arterial embolization for the management of leiomyomas: quality- of-life assessment and clinical response Radiology 208 625–629 Occurrence Handle9722838 Occurrence Handle1:STN:280:DyaK1czptVSlsA%3D%3D

    PubMed  CAS  Google Scholar 

  53. FL Jr Hutchins R Worthington-Kirsch RP Berkowitz (1999) ArticleTitleSelective uterine artery embolization as primary treatment for symptomatic leiomyomata uteri J Am Assoc Gynecol Laparosc 6 279–284 Occurrence Handle10459027 Occurrence Handle10.1016/S1074-3804(99)80061-9

    Article  PubMed  Google Scholar 

  54. JP Pelage O Le Dref P Soyer et al. (2000) ArticleTitleFibroid-related menorrhagia: treatment with superselective embolization of the uterine arteries and midterm follow-up Radiology 215 428–431 Occurrence Handle10796920 Occurrence Handle1:STN:280:DC%2BD3c3ls12rtA%3D%3D

    PubMed  CAS  Google Scholar 

  55. JP Pelage O Le Dref JP Beregi et al. (2003) ArticleTitleLimited uterine artery embolization with tris-acryl gelatin microspheres for uterine fibroids J Vasc Interv Radiol 14 15–20 Occurrence Handle12525582 Occurrence Handle10.1097/01.RVI.0000052287.26939.b0

    Article  PubMed  Google Scholar 

  56. JF Payne SJ Robboy AF Haney (2002) ArticleTitleEmbolic microspheres within ovarian arterial vasculature after uterine artery embolization Obstet Gynecol 100 883–886 Occurrence Handle12423846 Occurrence Handle10.1016/S0029-7844(02)02270-6

    Article  PubMed  Google Scholar 

  57. J Wang G Zhang H Shi et al. (2002) ArticleTitleDextran uterine artery embolization to treat fibroids Chin Med J (Engl) 115 1132–1136

    Google Scholar 

  58. SC Goodwin SM Bonilla D Sacks et al. (2001) ArticleTitleReporting standards for uterine artery embolization for the treatment of uterine leiomyomata J Vasc Interv Radiol 12 1011–1020 Occurrence Handle11535763 Occurrence Handle1:STN:280:DC%2BD3MvptlCmsw%3D%3D Occurrence Handle10.1016/S1051-0443(07)61586-3

    Article  PubMed  CAS  Google Scholar 

  59. A Aziz OM Petrucco S Makinoda et al. (1998) ArticleTitleTransarterial embolization of the uterine arteries: patient reactions and effects on uterine vasculature Acta Obstet Gynecol Scand 77 334–340 Occurrence Handle9539283 Occurrence Handle1:STN:280:DyaK1c7pvVKruw%3D%3D Occurrence Handle10.1080/j.1600-0412.1998.770316.x

    Article  PubMed  CAS  Google Scholar 

  60. O Abulafia DM Sherer (1999) ArticleTitleTranscatheter uterine artery embolization for the management of symptomatic uterine leiomyomas Obstet Gynecol Surv 54 745–753 Occurrence Handle10596395 Occurrence Handle1:STN:280:DC%2BD3c%2FmsVWqsA%3D%3D Occurrence Handle10.1097/00006254-199912000-00002

    Article  PubMed  CAS  Google Scholar 

  61. GP Siskin M Englander BF Stainken et al. (2000) ArticleTitleEmbolic agents used for uterine fibroid embolization AJR 175 767–773 Occurrence Handle10954464 Occurrence Handle1:STN:280:DC%2BD3cvnsFaqtQ%3D%3D

    PubMed  CAS  Google Scholar 

  62. R Worthington-Kirsch G Fueredi S Goodwin et al. (2001) ArticleTitlePolyvinyl alcohol particle size for uterine artery embolization Radiology 218 605–606 Occurrence Handle11161189 Occurrence Handle1:STN:280:DC%2BD3M3lvVegsw%3D%3D

    PubMed  CAS  Google Scholar 

  63. JP Pelage A Laurent M Wassef et al. (2002) ArticleTitleUterine artery embolization in sheep: comparison of acute effects with polyvinyl alcohol particles and calibrated microspheres Radiology 224 436–445 Occurrence Handle12147840 Occurrence Handle10.1148/radiol.2242010847

    Article  PubMed  Google Scholar 

  64. RL Worthington-Kirsch RT Andrews GP Siskin et al. (2002) ArticleTitle. II. Uterine fibroid embolization: technical aspects Tech Vasc Interv Radiol 5 17–34 Occurrence Handle12098105 Occurrence Handle10.1053/tvir.2002.124101

    Article  PubMed  Google Scholar 

  65. JB Spies JF Benenati RL Worthington-Kirsch JP Pelage (2001) ArticleTitleInitial experience with use of tris-acryl gelatin microspheres for uterine artery embolization for leiomyomata J Vasc Interv Radiol 12 1059–1063 Occurrence Handle11535768 Occurrence Handle1:STN:280:DC%2BD3MvptlCmtA%3D%3D Occurrence Handle10.1016/S1051-0443(07)61591-7

    Article  PubMed  CAS  Google Scholar 

  66. GP Siskin BF Stainken K Dowling et al. (2000) ArticleTitleOutpatient uterine artery embolization for symptomatic uterine fibroids: experience in 49 patients J Vasc Interv Radiol 11 305–311 Occurrence Handle10735424 Occurrence Handle1:STN:280:DC%2BD3c7pslCksw%3D%3D Occurrence Handle10.1016/S1051-0443(07)61422-5

    Article  PubMed  CAS  Google Scholar 

  67. RL Worthington-Kirsch NE Koller (2002) ArticleTitleTime course of pain after uterine artery embolization for fibroid disease Medscape Womens Health 7 4 Occurrence Handle12142860

    PubMed  Google Scholar 

  68. JB Spies A Spector AR Roth et al. (2002) ArticleTitleComplications after uterine artery embolization for leiomyomas Obstet Gynecol 100 873–880 Occurrence Handle12423844 Occurrence Handle10.1016/S0029-7844(02)02341-4

    Article  PubMed  Google Scholar 

  69. JM Ryan M Gainey J Glasson et al. (2002) ArticleTitleSimplified pain-control protocol after uterine artery embolization Radiology 224 610–6113 Occurrence Handle12147865 Occurrence Handle10.1148/radiol.2242011954

    Article  PubMed  Google Scholar 

  70. GP Siskin J Bonn RL Worthington-Kirsch et al. (2002) ArticleTitle. III. Uterine fibroid embolization: pain management Tech Vasc Interv Radiol 5 35–43 Occurrence Handle12098106 Occurrence Handle10.1053/tvir.2002.124727

    Article  PubMed  Google Scholar 

  71. JA Keyoung EB Levy AR Roth et al. (2001) ArticleTitleIntraarterial lidocaine for pain control after uterine artery embolization for leiomyomata J Vasc Interv Radiol 12 1065–1069 Occurrence Handle11535769 Occurrence Handle1:STN:280:DC%2BD3MvptlCmtQ%3D%3D Occurrence Handle10.1016/S1051-0443(07)61592-9

    Article  PubMed  CAS  Google Scholar 

  72. AR Roth JB Spies SM Walsh et al. (2000) ArticleTitlePain after uterine artery embolization for leiomyomata: can its severity be predicted and does severity predict outcome? J Vasc Interv Radiol 11 1047–1052 Occurrence Handle10997469 Occurrence Handle1:STN:280:DC%2BD3cvksFKqtg%3D%3D Occurrence Handle10.1016/S1051-0443(07)61337-2

    Article  PubMed  CAS  Google Scholar 

  73. RT Andrews PH Brown (2000) ArticleTitleUterine arterial embolization: factors influencing patient radiation exposure Radiology 217 713–722 Occurrence Handle11110933 Occurrence Handle1:STN:280:DC%2BD3M%2FotVOgtQ%3D%3D

    PubMed  CAS  Google Scholar 

  74. D Hart PJ Haggett P Boardman et al. (1994) ArticleTitlePatient radiation doses from enteroclysis examinations Br J Radiol 67 997–1000 Occurrence Handle8000845 Occurrence Handle1:STN:280:DyaK2M%2Fptl2mtQ%3D%3D Occurrence Handle10.1259/0007-1285-67-802-997

    Article  PubMed  CAS  Google Scholar 

  75. D Hart BF Wall (1994) ArticleTitleEstimation of effective dose from dose-area product measurements for barium meals and barium enemas Br J Radiol 67 485–489 Occurrence Handle8193896 Occurrence Handle1:STN:280:DyaK2c3ltFGktw%3D%3D Occurrence Handle10.1259/0007-1285-67-797-485

    Article  PubMed  CAS  Google Scholar 

  76. J Geleijns JJ Broerse MP Shaw et al. (1997) ArticleTitlePatient dose due to colon examination: dose assessment and results from a survey in The Netherlands Radiology 204 553–559 Occurrence Handle9240552 Occurrence Handle1:STN:280:DyaK2szot1Gnug%3D%3D

    PubMed  CAS  Google Scholar 

  77. B Nikolic S Abbara E Levy et al. (2000) ArticleTitleInfluence of radiographic technique and equipment on absorbed ovarian dose associated with uterine artery embolization J Vasc Interv Radiol 11 1173–1178 Occurrence Handle11041474 Occurrence Handle1:STN:280:DC%2BD3cvptVajsw%3D%3D Occurrence Handle10.1016/S1051-0443(07)61359-1

    Article  PubMed  CAS  Google Scholar 

  78. B Nikolic JB Spies MJ Lundsten S Abbara (2000) ArticleTitlePatient radiation dose associated with uterine artery embolization Radiology 214 121–125 Occurrence Handle10644110 Occurrence Handle1:STN:280:DC%2BD3c7gs12htA%3D%3D

    PubMed  CAS  Google Scholar 

  79. B Nikolic JB Spies L Campbell et al. (2001) ArticleTitleUterine artery embolization: reduced radiation with refined technique J Vasc Interv Radiol 12 39–44 Occurrence Handle11200352 Occurrence Handle1:STN:280:DC%2BD3M3ls1Orsg%3D%3D Occurrence Handle10.1016/S1051-0443(07)61400-6

    Article  PubMed  CAS  Google Scholar 

  80. MY Halyard JL Cornella GL Grado NR Rizzo (1996) ArticleTitleProlonged amenorrhea associated with total nodal irradiation for Hodgkin’s disease J Natl Med Assoc 88 391–393 Occurrence Handle8691503 Occurrence Handle1:STN:280:DyaK283ns1yruw%3D%3D

    PubMed  CAS  Google Scholar 

  81. L Brunereau D Herbreteau S Gallas et al. (2000) ArticleTitleUterine artery embolization in the primary treatment of uterine leiomyomas: technical features and prospective follow-up with clinical and sonographic examinations in 58 patients AJR 175 1267–1272 Occurrence Handle11044020 Occurrence Handle1:STN:280:DC%2BD3M%2FisVOqtg%3D%3D

    PubMed  CAS  Google Scholar 

  82. G Pron J Bennett A Common et al. (2003) ArticleTitleThe Ontario Uterine Fibroid Embolization Trial. Part 2. Uterine fibroid reduction and symptom relief after uterine artery embolization for fibroids Fertil Steril 79 120–127 Occurrence Handle12524074 Occurrence Handle10.1016/S0015-0282(02)04538-7

    Article  PubMed  Google Scholar 

  83. MS Broder S Goodwin G Chen et al. (2002) ArticleTitleComparison of long-term outcomes of myomectomy and uterine artery embolization Obstet Gynecol 100 864–868 Occurrence Handle12423842 Occurrence Handle10.1016/S0029-7844(02)02182-8

    Article  PubMed  Google Scholar 

  84. A Stancato-Pasik HA Mitty HM III Richard N Eshkar (1997) ArticleTitleObstetric embolotherapy: effect on menses and pregnancy Radiology 204 791–793 Occurrence Handle9280261 Occurrence Handle1:STN:280:DyaK2svisVeguw%3D%3D

    PubMed  CAS  Google Scholar 

  85. JH Ravina NC Vigneron A Aymard et al. (2000) ArticleTitlePregnancy after embolization of uterine myoma: report of 12 cases Fertil Steril 73 1241–1243 Occurrence Handle10856491 Occurrence Handle1:STN:280:DC%2BD3czhsF2ntw%3D%3D Occurrence Handle10.1016/S0015-0282(00)00497-0

    Article  PubMed  CAS  Google Scholar 

  86. B McLucas S Goodwin L Adler et al. (2001) ArticleTitlePregnancy following uterine fibroid embolization Int J Gynaecol Obstet 74 1–7 Occurrence Handle11430934 Occurrence Handle1:STN:280:DC%2BD3MznsVKrug%3D%3D Occurrence Handle10.1016/S0020-7292(01)00405-2

    Article  PubMed  CAS  Google Scholar 

  87. A Vashisht JR Smith G Thorpe-Beeston J McCall (2001) ArticleTitlePregnancy subsequent to uterine artery embolization Fertil Steril 75 1246–1248 Occurrence Handle11388348 Occurrence Handle1:STN:280:DC%2BD3MzhsF2htw%3D%3D Occurrence Handle10.1016/S0015-0282(01)01845-3

    Article  PubMed  CAS  Google Scholar 

  88. J Goldberg L Pereira V Berghella (2002) ArticleTitlePregnancy after uterine artery embolization Obstet Gynecol 100 869–872 Occurrence Handle12423843 Occurrence Handle10.1016/S0029-7844(02)02347-5

    Article  PubMed  Google Scholar 

  89. JP Pelage O Le Dref D Jacob et al. (1999) ArticleTitleSelective arterial embolization of the uterine arteries in the management of intractable post-partum hemorrhage Acta Obstet Gynecol Scand 78 698–703 Occurrence Handle10468062 Occurrence Handle1:STN:280:DyaK1Mzps1Wgug%3D%3D Occurrence Handle10.1080/j.1600-0412.1999.780807.x

    Article  PubMed  CAS  Google Scholar 

  90. SW Sawin ND Pilevsky JA Berlin KT Barnhart (2000) ArticleTitleComparability of perioperative morbidity between abdominal myomectomy and hysterectomy for women with uterine leiomyomas Am J Obstet Gynecol 183 1448–1455 Occurrence Handle11120509 Occurrence Handle1:STN:280:DC%2BD3M%2FptlCnug%3D%3D Occurrence Handle10.1067/mob.2000.107730

    Article  PubMed  CAS  Google Scholar 

  91. P Amato AC Roberts (2001) ArticleTitleTransient ovarian failure: a complication of uterine artery embolization Fertil Steril 75 438–439 Occurrence Handle11172854 Occurrence Handle1:STN:280:DC%2BD3M7ktlCmsQ%3D%3D Occurrence Handle10.1016/S0015-0282(00)01678-2

    Article  PubMed  CAS  Google Scholar 

  92. NH Stringer T Grant J Park L Oldham (2000) ArticleTitleOvarian failure after uterine artery embolization for treatment of myomas J Am Assoc Gynecol Laparosc 7 395–400 Occurrence Handle10924636 Occurrence Handle1:STN:280:DC%2BD3cvptlyntQ%3D%3D Occurrence Handle10.1016/S1074-3804(05)60485-9

    Article  PubMed  CAS  Google Scholar 

  93. HB Chrisman MB Saker RK Ryu et al. (2000) ArticleTitleThe impact of uterine fibroid embolization on resumption of menses and ovarian function J Vasc Interv Radiol 11 699–703 Occurrence Handle10877413 Occurrence Handle1:STN:280:DC%2BD3M%2Fhs1KksQ%3D%3D Occurrence Handle10.1016/S1051-0443(07)61627-3

    Article  PubMed  CAS  Google Scholar 

  94. B McLucas SC Goodwin L Adler R Reed (1999) ArticleTitleFatal septicaemia after fibroid embolisation Lancet 354 1730 Occurrence Handle10568598 Occurrence Handle1:STN:280:DC%2BD3c%2FjtlantA%3D%3D Occurrence Handle10.1016/S0140-6736(05)76717-9

    Article  PubMed  CAS  Google Scholar 

  95. A Vashisht J Studd A Carey P Burn (1999) ArticleTitleFatal septicaemia after fibroid embolisation Lancet 354 307–308 Occurrence Handle10440317 Occurrence Handle1:STN:280:DyaK1Mzms12huw%3D%3D Occurrence Handle10.1016/S0140-6736(99)02987-6

    Article  PubMed  CAS  Google Scholar 

  96. AA Common EJ Mocarski A Kolin et al. (2001) ArticleTitleTherapeutic failure of uterine fibroid embolization caused by underlying leiomyosarcoma J Vasc Interv Radiol 12 1449–1452 Occurrence Handle11742024 Occurrence Handle1:STN:280:DC%2BD3MjgtFWmsw%3D%3D Occurrence Handle10.1016/S1051-0443(07)61708-4

    Article  PubMed  CAS  Google Scholar 

  97. A Al-Badr W Faught (2001) ArticleTitleUterine artery embolization in an undiagnosed uterine sarcoma Obstet Gynecol 97 836–837 Occurrence Handle11336773 Occurrence Handle1:STN:280:DC%2BD3M3ovFWlsQ%3D%3D Occurrence Handle10.1016/S0029-7844(00)01195-9

    Article  PubMed  CAS  Google Scholar 

  98. A Joyce S Hessami D Heller (2001) ArticleTitleLeiomyosarcoma after uterine artery embolization. A case report J Reprod Med 46 278–280 Occurrence Handle11304875 Occurrence Handle1:STN:280:DC%2BD3MvjsFeruw%3D%3D

    PubMed  CAS  Google Scholar 

  99. H Al-Fozan J Dufort M Kaplow et al. (2002) ArticleTitleCost analysis of myomectomy, hysterectomy, and uterine artery embolization Am J Obstet Gynecol 187 1401–1404 Occurrence Handle12439538 Occurrence Handle10.1067/mob.2002.127374

    Article  PubMed  Google Scholar 

  100. CM Baker CA Winkel S Subramanian JB Spies (2002) ArticleTitleEstimated costs for uterine artery embolization and abdominal myomectomy for uterine leiomyomata: a comparative study at a single institution J Vasc Interv Radiol 13 1207–1210 Occurrence Handle12471183 Occurrence Handle10.1016/S1051-0443(07)61966-6

    Article  PubMed  Google Scholar 

  101. S Subramanian JB Spies (2001) ArticleTitleUterine artery embolization for leiomyomata: resource use and cost estimation J Vasc Interv Radiol 12 571–574 Occurrence Handle11340134 Occurrence Handle1:STN:280:DC%2BD3MvosVegsQ%3D%3D Occurrence Handle10.1016/S1051-0443(07)61477-8

    Article  PubMed  CAS  Google Scholar 

  102. MT Beinfeld JL Bosch GS Gazelle (2002) ArticleTitleHospital costs of uterine artery embolization and hysterectomy for uterine fibroid tumors Acad Radiol 9 1300–1304 Occurrence Handle12449362 Occurrence Handle10.1016/S1076-6332(03)80563-9

    Article  PubMed  Google Scholar 

  103. A Vashisht JW Studd AH Carey et al. (2000) ArticleTitleFibroid embolisation: a technique not without significant complications BJOG 107 1166–1170 Occurrence Handle11002964 Occurrence Handle1:STN:280:DC%2BD3cvkvV2rsA%3D%3D Occurrence Handle10.1111/j.1471-0528.2000.tb11119.x

    Article  PubMed  CAS  Google Scholar 

  104. PE Andersen N Lund P Justesen et al. (2001) ArticleTitleUterine artery embolization of symptomatic uterine fibroids. Initial success and short-term results Acta Radiol 42 234–238 Occurrence Handle11259954 Occurrence Handle1:STN:280:DC%2BD3M7mvVGksw%3D%3D

    PubMed  CAS  Google Scholar 

  105. WJ Walker JP Pelage (2002) ArticleTitleUterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up BJOG 109 1262–1272 Occurrence Handle12452465 Occurrence Handle1:STN:280:DC%2BD38nptFWitw%3D%3D Occurrence Handle10.1046/j.1471-0528.2002.01449.x

    Article  PubMed  CAS  Google Scholar 

  106. ML Messina N Bozzini HW Halbe JA Pinotti (2002) ArticleTitleUterine artery embolization for the treatment of uterine leiomyomata Int J Gynaecol Obstet 79 11–16 Occurrence Handle12399085 Occurrence Handle1:STN:280:DC%2BD38nktVSiug%3D%3D Occurrence Handle10.1016/S0020-7292(02)00182-0

    Article  PubMed  CAS  Google Scholar 

  107. E Zupi M Pocek M Dauri et al. (2003) ArticleTitleSelective uterine artery embolization in the management of uterine myomas Fertil Steril 79 107–111 Occurrence Handle12524072 Occurrence Handle10.1016/S0015-0282(02)04399-6

    Article  PubMed  Google Scholar 

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  1. Department of Clinical Radiology, Klinikum Grosshadern Ludwig-Maximilians-Universität, Marchioninistr. 15, D-81366 Munich, Germany

    T. K. Helmberger, T. F. Jakobs & M. F. Reiser

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  1. T. K. Helmberger
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Helmberger, T., Jakobs, T. & Reiser, M. Embolization of uterine fibroids . Abdom Imaging 29, 267–277 (2004). https://doi.org/10.1007/s00261-003-0075-1

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