Uterine artery embolization for the treatment of uterine leiomyomata midterm results

Scott C. Goodwin, Bruce McLucas, Margaret Lee, Gary Chen, Rita Perrella, Suresh Vedantham, Susie Muir, Annie Lai, James W. Sayre, Mabel DeLeon

Research output: Contribution to journalArticle

397 Scopus citations

Abstract

INTRODUCTION: The authors review their midterm experience with uterine artery embolization for the treatment of uterine fibroids. MATERIALS AND METHODS: Sixty patients were referred for permanent polyvinyl alcohol (PVA) foam particle uterine artery embolization during an 18-month period. Detailed clinical follow-up and ultrasound follow-up were obtained. RESULTS: Bleeding was a presenting symptom in 56 patients and pain was a presenting symptom in 47 patients. All patients underwent a technically successful embolization. One of the patients underwent unilateral embolization. Fifty-nine patients underwent bilateral embolization. Of all patients undergoing bilateral embolization, at last follow-up (mean, 16.3 months), 81% had their uterus and had moderate or better improvement in their symptoms. Ninety-two percent of these patients also had reductions in uterine and dominant fibroid volumes. Overall, the mean uterine and dominant fibroid volume reduction were 42.8% and 48.8%, respectively (mean follow-up, 10.2 months). One infectious complication that necessitated hysterectomy occurred. CONCLUSION: Uterine artery embolization for the treatment of uterine fibroids is a minimally invasive technique with low complication rates and very good clinical efficacy.

Original languageEnglish
Pages (from-to)1159-1165
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume10
Issue number9
DOIs
StatePublished - Oct 1999
Externally publishedYes

Keywords

  • Fibroid
  • Uterine arteries, therapeutic blockade
  • Uterus, neoplasms

Fingerprint Dive into the research topics of 'Uterine artery embolization for the treatment of uterine leiomyomata midterm results'. Together they form a unique fingerprint.

  • Cite this

    Goodwin, S. C., McLucas, B., Lee, M., Chen, G., Perrella, R., Vedantham, S., Muir, S., Lai, A., Sayre, J. W., & DeLeon, M. (1999). Uterine artery embolization for the treatment of uterine leiomyomata midterm results. Journal of Vascular and Interventional Radiology, 10(9), 1159-1165. https://doi.org/10.1016/S1051-0443(99)70213-7