Asherman syndrome in adenomyosis treated with uterine artery embolization: incidence predictive factors

Purpose To investigate Asherman syndrome (AS) related to potential factors during uterine artery embolization (UAE) treatment of adenomyosis.

This is a retrospective analysis of 195 women with adenomyosis who underwent UAE treatment from 2009 to 2016. All preoperative and intraoperative risk-related potential factors of AS were recorded. And AS events were carefully monitored during follow-up (range, 0–15 months). Potential risk-related factors of AS events were determined via univariate and multivariate logistic regression analyses.

The rate of AS events after UAE for adenomyosis was 12.82% (25/195). The univariate and multivariate analyses revealed the association of low vascularity with a significant risk for AS (P = 0.019).

Patients with low vascularity of adenomyosis at the time of UAE are more likely to have AS. And adenomyosis patients with low vascularity should be carefully selected to undergo UAE treatment. Similar content being viewed by others

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Fertil Steril 85:1823(e1–3) Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest The authors declare that they have no conflict of interest. Consent for publication Consent for publication was obtained for every individual person’s data included in the study. Ethical approval All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975. Informed consent Informed consent was obtained from all individual participants included in the study. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions About this article Cite this article Wang, Y., Lyu, W., Xu, W. et al. Asherman syndrome in adenomyosis treated with uterine artery embolization: incidence predictive factors. Radiol med 125, 437–443 (2020). https://doi.org/10.1007/s11547-020-01136-8 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s11547-020-01136-8