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Uterine Fibroid Embolization

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https://www.readbyqxmd.com/read/29099026/cost-and-distribution-of-hysterectomy-and-uterine-artery-embolization-in-the-united-states-regional-rural-urban-disparities
#1
Marquisette Glass Lewis, Olúgbémiga T Ekúndayò
Hysterectomy, the driving force for symptomatic uterine fibroids since 1895, has decreased over the years, but it is still the number one choice for many women. Since 1995, uterine artery embolization (UAE) has been proven by many researchers to be an effective treatment for uterine fibroids while allowing women to keep their uteri. The preponderance of data collection and research has focused on care quality in terms of efficiency and effectiveness, with little on location and viability related to care utilization, accessibility and physical availability...
May 16, 2017: Medical Sciences: Open Access Journal
https://www.readbyqxmd.com/read/29090998/pelvic-blood-flow-predicts-fibroid-volume-and-embolic-required-for-uterine-fibroid-embolization-a-pilot-study-with-4d-flow-mr-angiography
#2
Christopher D Malone, Arjun Banerjee, Marcus T Alley, Shreyas S Vasanawala, Anne C Roberts, Albert Hsiao
OBJECTIVE: We report here an initial experience using 4D flow MRI in pelvic imaging-specifically, in imaging uterine fibroids. We hypothesized that blood flow might correlate with fibroid volume and that quantifying blood flow might help to predict the amount of embolic required to achieve stasis at subsequent uterine fibroid embolization (UFE). MATERIALS AND METHODS: Thirty-three patients with uterine fibroids and seven control subjects underwent pelvic MRI with 4D flow imaging...
November 1, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29090348/characteristics-of-a-new-x-ray-imaging-system-for-interventional-procedures-improved-image-quality-and-reduced-radiation-dose
#3
Ruediger E Schernthaner, Reham R Haroun, Sonny Nguyen, Rafael Duran, Jae Ho Sohn, Sonia Sahu, Julius Chapiro, Yan Zhao, Alessandro Radaelli, Imramsjah M van der Bom, Maria Mauti, Kelvin Hong, Jean-François H Geschwind, MingDe Lin
PURPOSE: To compare image quality and radiation exposure between a new angiographic imaging system and the preceding generation system during uterine artery embolization (UAE). MATERIALS AND METHODS: In this retrospective, IRB-approved two-arm study, 54 patients with symptomatic uterine fibroids were treated with UAE on two different angiographic imaging systems. The new system includes optimized acquisition parameters and real-time image processing algorithms. Air kerma (AK), dose area product (DAP) and acquisition time for digital fluoroscopy (DF) and digital subtraction angiography (DSA) were recorded...
October 31, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29052017/fertility-after-uterine-artery-embolization-of-fibroids-a-systematic-review
#4
REVIEW
K Karlsen, A Hrobjartsson, M Korsholm, O Mogensen, P Humaidan, P Ravn
PURPOSE: The impact of uterine artery embolization (UAE) for the purpose of diminishing the effect of uterine fibroids on fertility is unclear. We have investigated the reported rates of pregnancy and miscarriage after treatment of uterine fibroids with UAE. MATERIALS AND METHODS: We searched for relevant information in PubMed and Embase for randomized controlled trials (RCT), controlled clinical trials, comparative before-after trials, cohort studies, case-control studies and case series where UAE treatment of premenopausal women was performed for uterine fibroids with and where a control intervention was included...
October 20, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29032946/uterine-artery-embolization-for-the-treatment-of-adenomyosis-a-systematic-review-and-meta-analysis
#5
REVIEW
Annefleur M de Bruijn, Marieke Smink, Paul N M Lohle, Judith A F Huirne, Jos W R Twisk, Caroline Wong, Linda Schoonmade, Wouter J K Hehenkamp
The effect of uterine artery embolization (UAE) on symptomatic adenomyosis was evaluated in a systematic review and meta-analysis. Four groups were evaluated: short-term (< 12 months) pure adenomyosis, short-term adenomyosis with fibroids (combined adenomyosis), long-term (> 12 months) pure adenomyosis, and long-term combined adenomyosis. Improvement of symptoms occurred in 83.1% (872/1,049) of patients. Reported symptom reduction was 4.8% greater in the short-term combined group (P = .169) and 11.4% greater in the long-term combined group (P = ...
October 9, 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/28951653/symptomatic-fibroid-management-systematic-review-of-the-literature
#6
REVIEW
Yelena Havryliuk, Robert Setton, John J Carlow, Barry D Shaktman
BACKGROUND AND OBJECTIVES: Symptomatic uterine fibroids are a societal and healthcare burden with no clear consensus among medical professionals as to which procedural treatment is most appropriate for each symptomatic patient. Our purpose was to determine whether recommendations can be made regarding best practice based on review and analysis of the literature since 2006. DATABASE: A systematic search of journal articles relevant to the treatment of symptomatic uterine fibroids was performed within PubMed, clinical society websites, and medical device manufacturers' websites...
July 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/28934806/radiation-exposure-during-uterine-fibroid-embolization-ufe-a-confounder-controlled-comparison-between-a-state-of-the-art-angiography-unit-and-a-conventional-angiography-unit
#7
Christof-Matthias Sommer, Wieland Voigt, Michel Klapp Oliger, Christopher L Schlett, Stefan Erpenbach, Katrina Thomas, Andreas Hatopp, Patrick Kurz, Goetz M Richter
Purpose To compare radiation exposure of a state-of-the-art and a conventional angiography unit in patients undergoing uterine fibroid embolization (UFE). Materials and Methods Between January 2009 and December 2016, 286 patients underwent UFE in our Interdisciplinary Fibroid Center. The inclusion criteria for this retrospective analysis were first-time transarterial embolization for symptomatic fibroids, bilateral embolization, procedures applying a state-of-the-art (Group 1) or a conventional angiography unit (Group 2), and bilateral technical success with an adequate embolization endpoint after the injection of microspheres...
September 21, 2017: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/28929111/monitoring-leiomyoma-response-to-uterine-artery-embolization-using-diffusion-and-perfusion-indices-from-diffusion-weighted-imaging
#8
Mengqiu Cao, Lijun Qian, Xuebin Zhang, Xinjun Suo, Qing Lu, Huilin Zhao, Jialin Liu, Jianxun Qu, Yan Zhou, Jianrong Xu, Shiteng Suo
PURPOSE: To investigate the potential of diffusion and perfusion indices (ADC and perfusion fraction f) from DWI at 3.0 T in monitoring treatment response to uterine artery embolization (UAE) at 6-month follow-up. METHODS: Twelve female patients with uterine fibroids who underwent 3.0-T pelvic DWI before and 6 months after UAE were included. ADC and perfusion fraction f were calculated from DWI. The Wilcoxon signed-rank test and Spearman rank correlation test were used for statistics...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28887670/comparison-of-two-endovascular-steerable-robotic-catheters-for-percutaneous-robot-assisted-fibroid-embolization
#9
C Del Giudice, O Pellerin, M Nouri Neville, G Amouyal, I Fitton, C Leré-Déan, M Sapoval
PURPOSE: To compare outcomes of percutaneous robot-assisted uterine fibroid embolization (UFE) using two different endovascular robotic catheters. METHODS: Twenty-one patients with a symptomatic uterine fibroid were prospectively enrolled in a single-center study to be treated with a percutaneous robot-assisted embolization using the Magellan system. Fourteen patients were treated using a first generation steerable robotic catheter, version 1.0 (group 1), and seven were treated using the new version 1...
September 8, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28876143/anti-m%C3%A3-llerian-hormone-levels-before-and-after-uterine-artery-embolization
#10
Bruce McLucas, William D Voorhees, Scott A Snyder
OBJECTIVE: To determine the effects of uterine artery embolization (UAE) on ovarian reserve as measured by Anti-Müllerian hormone (AMH) levels. MATERIAL AND METHODS: Non-randomized, observational study of 89 women 23-40 years of age who received UAE. Control hormone levels were measured prior to UAE and the first post-embolization measurement was taken at various times post-procedure (mean = 190 ± 229 days). RESULTS: Historical work verified by our earlier work has shown that AMH levels decline with age...
September 6, 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/28836027/temporary-anorgasmia-following-uterine-artery-embolization-for-symptomatic-uterine-fibroids
#11
Ethan Speir, Haris Shekhani, Gail Peters
We report a rare case of temporary anorgasmia following uterine artery embolization (UAE) performed for symptomatic uterine fibroids. To our knowledge, this is only the second time that this complication has been reported in the literature. We briefly explore the possible pathophysiologic explanations for this complication and review the effects of UAE compared to hysterectomy on sexual functioning in women.
November 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28807810/unique-learning-system-for-uterine-artery-embolization-for-symptomatic-myoma-and-adenomyosis-for-obstetrician-gynecologists-in-cooperation-with-interventional-radiologists-evaluation-of-uae-from-the-point-of-view-of-gynecologists-who-perform-uae
#12
Shu Soeda, Tsuyoshi Hiraiwa, Megumi Takata, Norihito Kamo, Hirofumi Sekino, Shinji Nomura, Manabu Kojima, Hyo Kyozuka, Takeharu Ozeki, Shiro Ishii, Tadanobu Tameda, Kimisato Asano, Makoto Miyazaki, Toshifumi Takahashi, Takafumi Watanabe, Yasunori Taki, Keiya Fujimori
STUDY OBJECTIVE: To evaluate a unique learning system for uterine artery embolization (UAE) and examine its feasibility and clinical outcomes for the treatment of symptomatic uterine leiomyomas and adenomyosis when performed by obstetrician-gynecologists in cooperation with interventional radiologists (IVRs). DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: One hundred seventy-three patients who underwent UAE for symptomatic leiomyomas and adenomyosis...
August 12, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28769130/consensus-meetings-regarding-uterine-artery-embolization-and-focused-ultrasound-in-fibroid-treatment-an-analysis
#13
Thomas Kröncke, Matthias David, Matthias Fritz Matzko
No abstract text is available yet for this article.
June 2017: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/28769129/uterine-artery-embolization-uae-for-fibroid-treatment-results-of-the-6th-radiological-gynecological-expert-meeting
#14
Thomas Kröncke, Matthias David
No abstract text is available yet for this article.
June 2017: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/28670051/ineffectiveness-of-magnetic-resonance-imaging-enhancement-to-predict-fibroid-volume-reduction-after-uterine-artery-embolization
#15
Ginny Bao, Lizbeth Hu, Hearns W Charles, Amy R Deipolyi
Fibroid nonenhancement is considered a relative contraindication to uterine artery embolization (UAE) for symptomatic fibroids. This retrospective study assessed the impact of UAE on nonenhancing fibroids to determine imaging predictors of fibroid shrinkage. All women who underwent UAE for symptomatic fibroids between May 2009 and July 2014 and had follow-up magnetic resonance imaging 6 months after UAE were included. There were 59 fibroids (5 nonenhancing, 54 enhancing) among 18 women aged 40 to 53 (mean 46) years...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28635407/ovarian-reserve-after-fibroid-embolization-in-premenopausal-women
#16
Panagiotis Tsikouras, Bachar Manav, Zacharoula Koukouli, Grigorios Trypsiannis, Georgios Galazios, Dimitrios Souftas, Vasileios Souftas
OBJECTIVE: To investigate the effect of uterine artery embolization (UAE) for fibroids on ovarian pool of premenopausal women. STUDY DESIGN: Prospective case control study. MATERIAL AND METHODS: One-hundred and twenty premenopausal women, aged between 40 and 50 years, who underwent UAE for symptomatic uterine fibroids and the same number of women, aged between 40 and 50 years, with symptomatic uterine fibroids, who were not offered treatment were recruited for this study...
February 24, 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/28608747/spontaneous-pregnancy-with-a-live-birth-after-conventional-and-partial-uterine-fibroid-embolization
#17
João M Pisco, Marisa Duarte, Tiago Bilhim, Jorge Branco, Fernando Cirurgião, Marcela Forjaz, Lúcia Fernandes, José Pereira, Nuno Costa, Joana B M Pisco, António G Oliveira
Purpose To determine pregnancy rates after conventional and partial uterine fibroid embolization (UFE). Materials and Methods The study received institutional review board approval and all patients gave written informed consent. A retrospective analysis of data collected prospectively was performed between June 2004 and June 2014 in a cohort of 359 women (mean age, 35.9 years ± 4.8) with uterine fibroids and/or adenomyosis who were unable to conceive. The median follow-up period was 69 months (range, 6-126 months)...
October 2017: Radiology
https://www.readbyqxmd.com/read/28597064/magnetic-resonance-signal-intensity-ratio-measurement-before-uterine-artery-embolization-ability-to-predict-fibroid-size-reduction
#18
Stevo Duvnjak, Pernille Ravn, Anders Green, Poul Erik Andersen
PURPOSE: To evaluate whether the magnetic resonance imaging (MRI) signal intensity (SI) ratio between the dominant fibroid and the periphery striated muscle can predict fibroid volume reduction >50% after uterine fibroid embolization (UFE). MATERIALS AND METHODS: From October 2013 until May 2016, 52 patients were included in this prospective study. The SI ratio before UFE was calculated using circular region of interests placed on the dominant fibroid and the iliac muscle...
June 8, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28591885/uterine-artery-embolization-uae-for-fibroid-treatment-results-of-the-6th-radiological-gynecological-expert-meeting
#19
Thomas Kröncke, Matthias David
No abstract text is available yet for this article.
June 2017: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/28591884/consensus-meetings-regarding-uterine-artery-embolization-and-focused-ultrasound-in-fibroid-treatment-an-analysis
#20
EDITORIAL
Thomas Kröncke, Matthias David, Matthias Fritz Matzko
No abstract text is available yet for this article.
June 2017: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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