Uterine Artery Embolization Indications and Contraindications
Uterine artery embolization (UAE) has become accepted as an effective therapy for most women with symptomatic fibroids (ACOG Practice Bulletin 2008). And while the vast majority of patients would be well treated with embolization, the decision as to whether it is the best choice for any individual patient requires a consideration of the extent of the fibroids and also patient-related factors, such as interest in future childbearing, preferences toward surgery, and the relative risks of differing therapies for individual patients. Therefore, the decision as to whether UAE is appropriate for a patient is based on a multilayered consideration of factors. This chapter will review what is known about the patient selection for UAE, including the indications and contraindications of the procedure, as well as medical conditions in which patient care may be a particular challenge. We also will review the anatomic limitations of UAE, with regard to uterine and fibroid size and specific subtypes of fibroids that may have diminished results. The hope is to provide the reader with all the tools needed to appropriately guide patients in the decision of whether UAE is a good choice for them.
KeywordsPelvic Pain Uterine Artery Embolization Uterine Fibroid Endometrial Polyp Heavy Menstrual Bleeding
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