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CardioVascular and Interventional Radiology

, Volume 26, Issue 3, pp 227–233 | Cite as

Ovarian Artery: Angiographic Appearance, Embolization and Relevance to Uterine Fibroid Embolization

  • J.P. Pelage
  • W.J. Walker
  • O. Le Dref
  • R. Rymer
Clinical Investigations

Abstract

Purpose: To describe the angiographic appearance of the ovarian artery and its main variations that may be relevant to uterine fibroid embolization. Methods: The flush aortograms of 294 women who had been treated by uterine artery embolization for fibroids were reviewed. Significant arterial supply to the fibroid, and the origin and diameter of identified ovarian arteries were recorded. In patients with additional embolization of the ovarian artery, the follow-up evaluation also included hormonal levels and Doppler imaging of the ovaries. Results: A total of 75 ovarian arteries were identified in 59 women (bilaterally in 16 women and unilaterally in 43 women). All ovarian arteries originated from the aorta below the level of the renal arteries with a characteristic tortuous course. Fifteen women had at least one enlarged ovarian artery supplying the fibroids. Fourteen women (14/15, 93%) presented at least one of the following factors: prior pelvic surgery, tubo-ovarian pathology or large fundal fibroids. Conclusion: We advocate the use of flush aortography in women with prior tubo-ovarian pathology or surgery or in cases of large fundal fibroids. In the case of an ovarian artery supply to the fibroids, superselective catheterization and embolization of the ovarian artery should be considered.

Keywords

Interventional radiology Uterine embolization Uterine fibroids Arterial anatomy Ovarian artery 

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Copyright information

© Springer-Verlag New York, Inc. 2003

Authors and Affiliations

  • J.P. Pelage
    • 1
    • 2
  • W.J. Walker
    • 1
  • O. Le Dref
    • 2
  • R. Rymer
    • 2
  1. 1.Department of Body and Vascular ImagingHôpital Lariboisière, AP-HP, 2 rue Ambroise Paré, F-75475 Paris cedex 10France
  2. 2.X-ray DepartmentThe Royal Surrey County Hospital, Egerton Road, Guildford GU2 5XXUK

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