Clinical care of patients undergoing uterine artery embolization.
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This article outlines a standardized clinical care pathway for patients undergoing uterine artery embolization, a minimally invasive procedure designed to treat symptomatic uterine fibroids by occluding blood vessels to induce tumor infarction. The authors emphasize the necessity of adhering to rigorous guidelines to optimize clinical success and minimize complications during patient treatment. While the text focuses primarily on the procedural aspects and safety profiles related to leiomyomas, it does not address other gynecological pathologies. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.
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Abstract
Uterine artery embolization (UAE) is a relatively recent, safe, and minimally invasive procedure for women experiencing symptomatic fibroids. This process of percutaneous occlusion of blood vessels to disrupt blood flow will consequently impede nourishment to the uterine fibroids and cause infarction. To have proper patient treatment to optimize overall clinical success, guidelines should be rigorously followed. This article will delineate a suitable patient care process for UAE in which subsequent interventional radiologists can employ.
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Abstract
Uterine artery embolization (UAE) is a relatively recent, safe, and minimally invasive procedure for women experiencing symptomatic fibroids. This process of percutaneous occlusion of blood vessels to disrupt blood flow will consequently impede nourishment to the uterine fibroids and cause infarction. To have proper patient treatment to optimize overall clinical success, guidelines should be rigorously followed. This article will delineate a suitable patient care process for UAE in which subsequent interventional radiologists can employ.
Keywords
Fibroids - uterine artery embolization - uterine fibroid embolization - patient care
References
- 1 Cramer S F, Patel A. The frequency of uterine leiomyomas. Am J Clin Pathol. 1990; 94 435-438
- 2 Myers E R, Barber M D, Gustilo-Ashby T, Couchman G, Matchar D B, McCrory D C. Management of uterine leiomyomata: what do we really know?. Obstet Gynecol. 2002; 100 8-17
- 3 Spies J, Ascher S, Roth A, Kim J, Levy E, Gomez-Jorge J. Uterine artery embolization for leiomyomata. Obstet Gynecol. 2001; 98 29-34
- 4 Worthington-Kirsch R, Spies J, Myers E et al.. The fibroid registry for outcomes data (FIBROID) for uterine embolization. Obstet Gynecol. 2005; 106 52-59
- 5 Schirf B E, Vogelzang R L, Chrisman H B. Complizations of uterine fibroid embolization. Semin Intervent Radiol. 2006; 23 143-149
- 6 Pelage J P, Soyer P, Le Dref O et al.. Uterine arteries: bilateral catheterization with a single femora approach and a single 5-F catheter-technical note. Radiology. 1999; 210 573-575
- 7 Pinto I, Chimeno P, Romo A et al.. Uterine fibroids: uterine artery embolization versus abdominal hysterectomy for treatment-a prospective, randomized, and controlled clinical trial. Radiology. 2003; 226 425-431
- 8 Pron G, Mocarski E, Bennett J et al.. Tolerance, hospital stay, and recovery after uterine artery embolization for fibroids: the Ontario Uterine Fibroid Embolization Trial. J Vasc Interv Radiol. 2003; 14 1243-1250
- 9 Bucek R A, Puchner S, Lammer J. Mid- and long-term quality-of-life assessment in patients undergoing uterine fibroid embolization. AJR Am J Roentgenol. 2006; 186 877-882
- 10 Greenberg M D, Kazamel T I. Medical and socioeconomic impact of uterine fibroids. Obstet Gynecol Clin North Am. 1995; 22 625-636
- 11 Goldberg J, Pereira L. Pregnancy outcomes following treatment for fibroids: uterine fibroid embolization versus laparoscopic myomectomy. Curr Opin Obstet Gynecol. 2006; 18 402-406
- 12 Marshburn P B, Matthews M L, Hurst B S. Uterine artery embolization as a treatment option for uterine myomas. Obstet Gynecol Clin North Am. 2006; 33 125-144
- 13 Katsumori T, Akazawa K, Mihara T. Uterine artery embolization for pedunculated subserosal fibroids. AJR Am J Roentgenol. 2005; 184 399-402
- 14 Braude P, Reidy J, Nott V, Taylor A, Forman R. Embolization of uterine leiomyomata: current concepts in management. Hum Reprod Update. 2000; 6 603-608
- 15 Rajan D K, Beecroft J R, Clark T W et al.. Risk of intrauterine infectious complications after uterine artery embolization. J Vasc Interv Radiol. 2004; 15 1415-1421
- 16 Hurst B S, Stackhouse D J, Matthews M L, Marshburn P B. Uterine artery embolization for asymptomatic uterine myomas. Fertil Steril. 2000; 74 855-869
- 17 Prollius A, de Vries C, Longgenberg E et al.. Uterine artery embolization for symptomatic fibroids. Int J Gynaecol Obstet. 2004; 84 236-240
- 18 Goodwin S C, Vedantham S, McLucas B et al.. Preliminary experience with uterine artery embolization for uterine fibroids. J Vasc Interv Radiol. 1997; 8 517-526
- 19 Klein A, Schwartz M. Uterine artery embolization for the treatment of uterine fibroids: an outpatient procedure. Am J Obstet Gynecol. 2001; 184 1556-1563
- 20 Goodwin S C, McLucas B, Lee M et al.. Uterine artery embolization for the treatment of uterine leiomyomata: midterm results. J Vasc Interv Radiol. 1999; 10 1159-1165
- 21 Spies J B, Cooper J M, Wothington-Kirsch R et al.. Outcome from uterine embolization and hysterectomy for leiomyomas: result of a multi-center study. Am J Obstet Gynecol. 2004; 191 22-31
- 22 Hehenkamp W J, Volkers N A, Birine E, Reekers J A, Ankum W M. Pain and return to daily activities after uterine artery embolization and hysterectomy in treatment of symptomatic uterine fibroids: results from the randomized EMMY trial. Cardiovasc Intervent Radiol. 2006; 29 179-187
- 23 Campo S, Campo V, Gambadauro P. Short-term and long-term results of resectoscopic myomectomy with and without pretreatment with GnRH analogs in premenopausal women. Acta Obstet Gynecol Scand. 2005; 84 756-760
- 24 Goodwin S C, Bradley L D, Lipman J C et al.. Uterine artery embolization versus myomectomy: a multicenter comparative study. Fertil Steril. 2006; 85 14-21
- 25 Dunn T S, Stamm C A, Delorit M, Goldberg G. Clinical pathway for evaluating women with abnormal uterine bleeding. J Reprod Med. 2001; 46 831-834
- 26 Common A A, Mocarski E J, Kolin A, Pron G, Soucie J. Therapeutic failure of uterine fibroid embolization caused by underlying leiomyosarcoma. J Vasc Interv Radiol. 2001; 12 1449-1452
- 27 Wallach E E, Vlahos N F. Uterine myomas: an overview of development clinical features, and management. Obstet Gynecol. 2004; 104 393-406
- 28 Volkers N A, Hehenkamp W J, Birnie E et al.. Uterine artery embolization in the treatment of symptomatic uterine fibroid tumors (EMMY Trial): periprocedural results and complications. J Vasc Interv Radiol. 2006; 17 471-480
- 29 Al-Fozan H, Tulandi T. Factors affecting early surgical intervention after uterine artery embolization. Obstet Gynecol Surv. 2002; 57 810-815
- 30 Felemban A, Stein L, Tulandi T. Uterine restoration after repeated expulsion of myomas after uterine artery embolization. J Am Assoc Gynecol Laparosc. 2001; 8 442-444
- 31 Park H R, Kim M D, Kim N K et al.. Uterine restoration after repeated sloughing of fibroids or vaginal expulation following uterine artery embolization. Eur Radiol. 2005; 15 1850-1854
- 32 Mehta H, Sandhu C, Matson M, Belli A M. Review of readmission due to complications for uterine fibroid embolization. Clin Radiol. 2002; 57 1122-1124
- 33 Hemingway A P, Allison D J. Complications of embolization: analysis of 410 procedures. Radiology. 1988; 166 669-672
- 34 Godfrey C D, Zbella E A. Uterine necrosis after uterine artery embolization for leiomyoma. Obstet Gynecol. 2001; 98 950-952
Thuong G Van HaM.D.
Section of Vascular and Interventional Radiology, University of Chicago Hospitals
5840 S. Maryland Avenue, MC 2026, Chicago, IL 60637
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