The Role of a Repeat UAE Procedure

  • Robert L. Worthington-Kirsch
Part of the Medical Radiology book series (MEDRAD)


Patients who have been treated for fibroid disease by embolotherapy occasionally may not experience satisfactory symptom relief. Others, who initially do have relief from their fibroid-related symptoms may have those symptoms recur. Causes for clinical failure and symptom recurrence include incomplete fibroid infarction and interval growth of new fibroids. Many of these patients will respond to repeat embolization.


Uterine Artery Internal Iliac Artery Uterine Artery Embolization Gelatin Sponge Ovarian Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Abramowitz SD, Israel GM, McCarthy SM, Pollak JS, White RI, Tal MG (2009) Comparison of four embolic materials at uterine artery embolization by using postprocedural MR imaging enhancement. Radiology 250:482–487PubMedCrossRefGoogle Scholar
  2. Barth MM, Spies JB (2003) Ovarian artery embolization supplementing uterine artery embolization for leiomyomata. J Vasc Interv Radiol 14:1177–1182PubMedCrossRefGoogle Scholar
  3. Common AA, Mocarski EJM, Kolin A, Pron G, Soucie J (2001) Therapeutic failure of uterine fibroid embolization caused by underlying leiomyosarcoma. J Vasc Interv Radiol 12:1449–1452PubMedCrossRefGoogle Scholar
  4. Gomez-Jorge J, Keyoung A, Levy EB, Spies JB (2003) Uterine artery anatomy relevant to uterine leiomyomata embolization. Cardiovasc Interv Radiol 26:522–527CrossRefGoogle Scholar
  5. Katsumori T, Kasahara T, Kin Y, Nozaki T (2008) Infarction of uterine fibroids after embolization: relationship between post-procedural enhanced MRI findings and long-term clinical outcomes. Cardiovasc Interv Radiol 31:66–72CrossRefGoogle Scholar
  6. Kirby JM, Burrows D, Haider E, Maizlin Z, Midia M (2011) Utility of MRI before and after uterine fibroid embolization: why to do it and what to look for. Cardiovasc Interv Radiol 34:705–716CrossRefGoogle Scholar
  7. Kroenke TJ, Scheurig C, Poellinger A, Gronewold M, Hamm B (2010) Uterine artery embolization for leiomyomas: percentage of infarction predicts clinical outcome. Radiology 255:834–841CrossRefGoogle Scholar
  8. McLucas B, Goodwin SC, Vedantham S (1996) Embolic therapy for myomata. Min Invas Ther Allied Technol 5:336–338CrossRefGoogle Scholar
  9. McLucas B (2009a) Repeat uterine artery embolization following technical failure. Min Ivas Ther Allied Technol 18:78–81CrossRefGoogle Scholar
  10. McLucas B (2009b) Extra-gonadal supply to uterine leiomyomata: a case report. Min Ivas Ther Allied Technol 18:103–105CrossRefGoogle Scholar
  11. McLucas B, Reed R (2009) Repeat uterine artery embolization following poor results. Min Ivas Ther Allied Technol 18:82–86CrossRefGoogle Scholar
  12. Papadia A, Salom EM, Fulcheri E, Ragni N (2007) Uterine sarcoma occurring in a premenopausal patient after uterine artery embolization: a case report and review of the literature. Gynecol Oncol 104:260–263PubMedCrossRefGoogle Scholar
  13. Pelage JP, LeDref O, Soyer P et al (1999) Arterial anatomy of the female genital tract: variations and relevance to transcatheter embolization of the uterus. Am J Roentgenol 172:989–994CrossRefGoogle Scholar
  14. Pelage JP, Guaou NG, Jha RC, Ascher SM, Spies JB (2004) Uterine fibroid tumors: long-term mr imaging outcome after embolization. Radiology 230:803–809PubMedCrossRefGoogle Scholar
  15. Razavi MK, Rhee J, Sze D, Kee S, Dake M (2000) Recanalization of uterine arteries after fibroid embolization: evidence on MRA (abstract). J Vasc Interv Radiol 11:286Google Scholar
  16. Sampson JA (1912) The blood supply of uterine myomata. Surg Gynecol Obstet 14:215–234Google Scholar
  17. Saraiya PV, Chang TC, Pelage JP, Spies JB (2002) Uterine artery replacement by the round ligament artery: an anatomic variant discovered during uterine artery embolization for leiomyomata. J Vasc Interv Radiol 13:939–941PubMedCrossRefGoogle Scholar
  18. Smeets AJ, Nijenhuis RJ, van Rooij WJ, Weimar EAM, Boekkooi PF, Lampmann LEH, Vervest HAM, Lohle PNM (2010) Uterine artery embolization in patients with a large fibroid burden: long-term clinical and MR follow-up. Cardiovasc Interv Radiol 33:943–948CrossRefGoogle Scholar
  19. Spies JB, Myers ER, Worthington-Kirsch R, Mulgund J, Goodwin S, Mauro M (2005) The FIBROID registry: symptoms and quality-of-life status 1 year after therapy. Obstet Gynecol 106:1309–1318PubMedCrossRefGoogle Scholar
  20. White AM, Banovac F, Yousefi S, Slack RS, Spies JB (2007) Uterine fibroid embolization: the utility of aortography in detecting ovarian artery collateral supply. Radiology 244:291–298PubMedCrossRefGoogle Scholar
  21. Worthington-Kirsch RL, Walker WJ, Adler L, Hutchins FL (1999) Anatomic variation in the uterine arteries: a cause of failure of uterine artery embolisation for the management of symptomatic fibroids. Min Invas Ther Allied Technol 8:397–402CrossRefGoogle Scholar
  22. Worthington-Kirsch RL, Spies JB, Myers ER, Mulgund J, Mauro M, Pron G, Peterson ED, Goodwin SC (2005) The fibroid registry for outcomes data (FIBROID) for uterine embolization: short-term outcomes. Obstet Gynecol 106:52–59PubMedCrossRefGoogle Scholar
  23. Worthington-Kirsch RL, Siskin GP, Hegener P, Chesnick R (2011) Comparison of the efficacy of the embolic agents acrylamido polyvinyl alcohol microspheres and tris-acryl gelatin microspheres for uterine artery embolization for leiomyomas: a prospective randomized controlled trial. Cardiovasc Interv Radiol 34:493–501CrossRefGoogle Scholar
  24. Yousefi S, Czeyda-Pommersheim F, White AM, Banovac F, Hahn WY, Spies JB (2006) Repeat uterine artery embolization: indications and technical findings. J Vasc Interv Radiol 17:1923–1929PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg  2012

Authors and Affiliations

  1. 1.WynnewoodUSA

Personalised recommendations