When to Consider Ovarian Artery Embolization in UAE

  • Thomas J. Kröncke
Part of the Medical Radiology book series (MEDRAD)


The ovarian artery is a major collateral pathway to the uterus and may act as a source of fibroid perfusion. This chapter gives an overview about the ovarian artery anatomy, imaging techniques to visualize collateral arterial supply to uterine fibroids, the technique of ovarian artery embolization (OAE) as well as the risks and benefits of supplemental OAE in the setting of uterine fibroid embolization.


Uterine Artery Uterine Artery Embolization Uterine Fibroid Ovarian Artery Uterine Fibroid Embolization 
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. Abbara S, Nikolic B, Pelage JP, Banovac F, Spies JB (2007) Frequency and extent of uterine perfusion via ovarian arteries observed during uterine artery embolization for leiomyomas. AJR Am J Roentgenol 188(6):1558–1563Google Scholar
  2. Andrews RT, Bromley PJ, Pfister ME (2000) Successful embolization of collaterals from the ovarian artery during uterine artery embolization for fibroids: a case report. J Vasc Interv Radiol 11(5):607–610Google Scholar
  3. Andrews RT, Spies JB, Sacks D, Worthington-Kirsch RL, Niedzwiecki GA, Marx MV et al (2009) Patient care and uterine artery embolization for leiomyomata. J Vasc Interv Radiol 20(7 Suppl):S307–S311Google Scholar
  4. Barth MM, Spies JB (2003) Ovarian artery embolization supplementing uterine embolization for leiomyomata. J Vasc Interv Radiol 14(9 Pt 1):1177–1182Google Scholar
  5. Binkert CA, Andrews RT, Kaufman JA (2001) Utility of nonselective abdominal aortography in demonstrating ovarian artery collaterals in patients undergoing uterine artery embolization for fibroids. J Vasc Interv Radiol 12(7):841–845Google Scholar
  6. Dixon S, Tapping CR, Chuah PS, Bratby M, Uberoi R, Anthony S (2012) Successful fibroid embolization of pelvic and inferior mesenteric artery collaterals after previous uterine artery embolization. Acta Radiol 53(3):292–295PubMedCrossRefGoogle Scholar
  7. Dubreuil-Chambardel L (1925) Les variations du corps humain. Flammarion, ParisGoogle Scholar
  8. Frates RE (1969) Selective angiography of the ovarian artery. Radiology 92(5):1014–1019Google Scholar
  9. Healey S, Buzaglo K, Seti L, Valenti D, and Tulandi T (2004) Ovarian function after uterine artery embolization and hysterectomy. J Am Assoc Gynecol Laparosc 11(3):348–352Google Scholar
  10. Hehenkamp WJ, Volkers NA, Broekmans FJ, de Jong FH, Themmen AP, Birnie E et al (2007) Loss of ovarian reserve after uterine artery embolization: a randomized comparison with hysterectomy. Hum Reprod 22(7):1996–2005Google Scholar
  11. Hovsepian DM, Ratts VS, Rodriguez M, Huang JS, Aubuchon MG, Pilgram TK (2006) A prospective comparison of the impact of uterine artery embolization, myomectomy, and hysterectomy on ovarian function. J Vasc Interv Radiol 17(7):1111–1115Google Scholar
  12. Hu NN, Kaw D, McCullough MF, Nsouli-Maktabi H, Spies JB (2011) Menopause and menopausal symptoms after ovarian artery embolization: a comparison with uterine artery embolization controls. J Vasc Interv Radiol 22(5):710–715.e1Google Scholar
  13. Kaump GR, and Spies JB (2013) The impact of uterine artery embolization on ovarian function. J Vasc Interv Radiol 24(4):459–467Google Scholar
  14. Kim HS, Tsai J, Patra A, Lee JM, Griffith JG, Wallach EE (2006) Effects of utero-ovarian anastomoses on clinical outcomes and repeat intervention rates after uterine artery embolization. J Vasc Interv Radiol 17(5):783–789Google Scholar
  15. Kim HS, Tsai J, Lee JM, Vang R, Griffith JG, Wallach EE (2006) Effects of utero-ovarian anastomoses on basal follicle-stimulating hormone level change after uterine artery embolization with tris-acryl gelatin microspheres. J Vasc Interv RadiolJun;17(6):965–971Google Scholar
  16. Kim HS, Thonse VR, Judson K, Vang R (2007) Utero-ovarian anastomosis: histopathologic correlation after uterine artery embolization with or without ovarian artery embolization. J Vasc Interv Radiol 18(1 Pt 1):31–39Google Scholar
  17. Kim WK, Yang SB, Goo DE, Kim YJ, Chang YW, Lee JM (2013) Aberrant ovarian artery arising from the common iliac artery: case report. Korean J Radiol 14(1):91–93PubMedCentralPubMedCrossRefGoogle Scholar
  18. Kozik W (2000) Arterial vasculature of ovaries in women of various ages in light of anatomic, radiologic and microangiographic examinations. Ann Acad Med Stetin 46:25–34Google Scholar
  19. Kroencke TJ, Scheurig C, Kluner C, Taupitz M, Schnorr J, Hamm B (2006) Uterine fibroids: contrast-enhanced MR angiography to predict ovarian artery supply–initial experience. Radiology 241(1):181–189Google Scholar
  20. Kwon JH, Kim MD, Lee KH, Lee M, Lee MS, Won JY et al (2013) Aberrant ovarian collateral originating from external iliac artery during uterine artery embolization. Cardiovasc Intervent Radiol 36(1):269–271Google Scholar
  21. Lanciego C, Diaz-Plaza I, Ciampi JJ, Cuena-Boy R, Rodríguez-Martín N, Maldonado MD, et al (2012) Utero-ovarian anastomoses and their influence on uterine fibroid embolization. J Vasc Interv Radiol 23(5):595–601Google Scholar
  22. Lee MS, Kim MD, Lee M, Won JY, Park SI, Lee do Y, Lee KH (2012) Contrast-enhanced MR angiography of uterine arteries for the prediction of ovarian artery embolization in 349 patients. J Vasc Interv Radiol 23(9):1174–1179Google Scholar
  23. Maheshwari A, Fowler P, Bhattacharya S (2006) Assessment of ovarian reserve–should we perform tests of ovarian reserve routinely? Hum Reprod 21(11):2729–2735Google Scholar
  24. Marx M, Wack JP, Baker EL, Stevens SK, and Barakos JA (2003) Ovarian protection by occlusion of uteroovarian collateral vessels before uterine fibroid embolization. J Vasc Interv Radiol 14(10):1329–1332Google Scholar
  25. Matson M, Nicholson A, Belli AM (2000) Anastomoses of the ovarian and uterine arteries: a potential pitfall and cause of failure of uterine embolization. Cardiovasc Intervent Radiol 23(5):393–396PubMedCrossRefGoogle Scholar
  26. McLucas B (2009) Collateral supply to uterine leiomyomata from an unnamed vessel: a case report. Minim Invasive Ther Allied Technol 18(2):106–108PubMedCrossRefGoogle Scholar
  27. Mori K, Saida T, Shibuya Y, Takahashi N, Shiigai M, Osada K et al (2010) Assessment of uterine and ovarian arteries before uterine artery embolization: advantages conferred by unenhanced MR angiography. Radiology 255(2):467–475Google Scholar
  28. Nikolic B, Spies JB, Abbara S, Goodwin SC (1999) Ovarian artery supply of uterine fibroids as a cause of treatment failure after uterine artery embolization: a case report. J Vasc Interv Radiol 10(9):1167–1170Google Scholar
  29. Notkovich H (1956) Variations of the testicular and ovarian arteries in relation to the renal pedicle. Surg Gynecol Obstet 103(4):487–495Google Scholar
  30. Payne JF, Robboy SJ, Haney AF (2002) Embolic microspheres within ovarian arterial vasculature after uterine artery embolization. Obstet Gynecol 100(5 Pt 1):883–886Google Scholar
  31. Pelage JP, Walker WJ, Le Dref O, Rymer R (2003) Ovarian artery: angiographic appearance, embolization and relevance to uterine fibroid embolization. Cardiovasc Intervent Radiol 26(3):227–233PubMedCrossRefGoogle Scholar
  32. Pelage JP, Guaou NG, Jha RC, Ascher SM, Spies JB (2004) Uterine fibroid tumors: long-term MR imaging outcome after embolization. Radiology 230(3):803–809Google Scholar
  33. Rahman HA, Dong K, Yamadori T (1993) Unique course of the ovarian artery associated with other variations. J Anat 182 (Pt 2):287–290Google Scholar
  34. Razavi MK, Wolanske KA, Hwang GL, Sze DY, Kee ST, Dake MD (2002) Angiographic classification of ovarian artery-to-uterine artery anastomoses: initial observations in uterine fibroid embolization. Radiology 224(3):707–712Google Scholar
  35. Reed RA, McLucas B (2012) Aberrant right ovarian artery from Proximal Internal Iliac Artery in Uterine artery embolization patient. Open J Radiol. 2(4):117–119CrossRefGoogle Scholar
  36. Ryu RK, Siddiqi A, Omary RA, Chrisman HB, Nemcek AA, Sichlau MJ, Vogelzang RL (2003) Sonography of delayed effects of uterine artery embolization on ovarian arterial perfusion and function. AJR Am J Roentgenol 181(1):89–92Google Scholar
  37. Salazar GM, Gregory Walker T, Conway RF, Yeddula K, Wicky S, Waltman AC, Kalva SP (2013) Embolization of angiographically visible type I and II utero-ovarian anastomoses during uterine artery embolization for fibroid tumors: impact on symptom recurrence and permanent amenorrhea. J Vasc Interv Radiol 24(9):1347–1352Google Scholar
  38. Scheurig-Muenkler C, Poellinger A, Wagner M, Hamm B, Kroencke TJ (2011) Ovarian artery embolization in patients with collateral supply to symptomatic uterine leiomyomata. Cardiovasc Intervent Radiol 34(6):1199–1207Google Scholar
  39. Shoja MM, Tubbs RS, Shakeri AB, Oakes WJ (2007) Origins of the gonadal artery: embryologic implications. Clin Anat 20(4):428–432Google Scholar
  40. Sieunarine K, Moxey P, Boyle DC, Ungar L, Lindsay I, Del Priore G, Smith JR (2005) Selective vessel ligation in the pelvis: an invaluable tool in certain surgical procedures. Int J Gynecol Cancer 15(5):967–973PubMedCrossRefGoogle Scholar
  41. Smoger DL, Kancherla V, Shlansky-Goldberg RD (2010) Uterine fundal blood supply from an aberrant left ovarian artery originating from the inferior mesenteric artery: implications for uterine artery embolization. J Vasc Interv Radiol 21(6):941–944Google Scholar
  42. Spies JB, Roth AR, Gonsalves SM, Murphy-Skrzyniarz KM (2001) Ovarian function after uterine artery embolization for leiomyomata: assessment with use of serum follicle stimulating hormone assay. J Vasc Interv Radiol 12(4):437–442Google Scholar
  43. Tropeano G, Di Stasi C, Litwicka K, Romano D, Draisci G, Mancuso S (2004) Uterine artery embolization for fibroids does not have adverse effects on ovarian reserve in regularly cycling women younger than 40 years. Fertil Steril 81(4):1055–1061Google Scholar
  44. Tropeano G, Di Stasi C, Amoroso S, Gualano MR, Bonomo L, Scambia G (2010) Long-term effects of uterine fibroid embolization on ovarian reserve: a prospective cohort study. Fertil Steril 94(6):2296–2300Google Scholar
  45. Tulandi T, Sammour A, Valenti D, Child TJ, Seti L, Tan SL (2002) Ovarian reserve after uterine artery embolization for leiomyomata. Fertil Steril 78(1):197–198Google Scholar
  46. 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(1):291–298Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Klinik für Diagnostische und InterventionelleRadiologie und NeuroradiologieAugsburgGermany

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