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Uterine Fibroid Embolization

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https://www.readbyqxmd.com/read/28208947/delayed-uterine-necrosis-rare-cause-of-nonhealing-wound
#1
Aruna Nigam, Neha Gupta, Arifa A Elahi, Zeeba S Jairajpuri, Swaraj Batra
Uterine necrosis is a very rare condition and most of the reported cases occurred after pelvic arterial embolization for post-partum haemorrhage, embolization of fibroid uterus or application of B-Lynch sutures. A case of delayed myometrial necrosis is reported in post-cesarean patient where no embolization or uterine compression sutures have been applied. Patient presented with foul smelling discharge from the gaped abdominal wound following caesarean section. Abdomen was closed after exploration and lavage...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28163256/preprocedural-mri-and-mra-in-planning-fibroid-embolization
#2
Cristina Maciel, Yen Zhi Tang, Anju Sahdev, António Miguel Madureira, Paulo Vilares Morgado
This pictorial review aims to discuss and illustrate the up-to-date use of preprocedural magnetic resonance imaging (MRI) in selecting patients and planning uterine artery embolization (UAE). The merits of magnetic resonance angiography (MRA) in demonstrating the pelvic vasculature to guide UAE are highlighted. MRI features of fibroids and their main differential diagnoses are presented. Fibroid characteristics, such as location, size, and enhancement, which may impact patient selection and outcome, are presented based on recent literature...
February 6, 2017: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/28063909/periprocedural-outcomes-comparing-fibroid-embolization-and-focused-ultrasound-a-randomized-controlled-trial-and-comprehensive-cohort-analysis
#3
Emily P Barnard, Ahmed M AbdElmagied, Lisa E Vaughan, Amy L Weaver, Shannon K Laughlin-Tommaso, Gina K Hesley, David A Woodrum, Vanessa L Jacoby, Maureen P Kohi, Thomas M Price, Angel Nieves, Michael J Miller, Bijan J Borah, Krzysztof R Gorny, Phyllis C Leppert, Lisa G Peterson, Elizabeth A Stewart
BACKGROUND: Uterine fibroids are a common problem for reproductive-aged women, yet little comparative effectiveness research is available to guide treatment choice. Uterine artery embolization and magnetic resonance imaging-guided focused ultrasound surgery are minimally invasive therapies approved by the United States Food and Drug Administration for treating symptomatic uterine fibroids. The Fibroid Interventions: Reducing Symptoms Today and Tomorrow study is the first randomized controlled trial to compare these 2 fibroid treatments...
January 4, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28063569/prise-en-charge-des-fibromes-ut%C3%A3-rins-en-pr%C3%A3-sence-d-une-infertilit%C3%A3-autrement-inexpliqu%C3%A3-e
#4
Belina Carranza-Mamane, Jon Havelock, Robert Hemmings
OBJECTIF: Formuler des recommandations quant à la façon optimale d'assurer la prise en charge des fibromes dans le contexte de l'infertilité. Les options habituelles et novatrices de prise en charge des fibromes seront analysées en mettant l'accent sur leur applicabilité chez les femmes qui souhaitent obtenir une grossesse. OPTIONS: La prise en charge des fibromes chez les femmes qui souhaitent obtenir une grossesse met d'abord en jeu la documentation de la présence des fibromes en question et la détermination de la probabilité que ces derniers affectent le potentiel génésique...
December 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27966042/fertility-after-uterine-artery-embolization-for-symptomatic-multiple-fibroids-with-no-other-infertility-factors
#5
Antoine Torre, Arnaud Fauconnier, Vanessa Kahn, Olivier Limot, Laurence Bussierres, Jean Pierre Pelage
OBJECTIVES: To evaluate the fertility of women eligible for surgical multiple myomectomy, but who carefully elected a fertility-sparing uterine artery embolization (UAE). METHODS: Non-comparative open-label trial, on women ≤40 years, presenting with multiple symptomatic fibroids (at least 3, ≥3 cm), immediate pregnancy wish, and no associated infertility factor. Women had a bilateral limited UAE using tris-acryl gelatin microspheres ≥500 μm. Fertility, ovarian reserve, uterus and fibroid sizes, and quality of life questionnaires (UFS-QoL) were prospectively followed...
December 13, 2016: European Radiology
https://www.readbyqxmd.com/read/27881998/a-comparative-study-on-the-effects-of-mri-and-ct-guided-interventional-therapies-on-uterine-fibroids
#6
Yongxu Mu, Ruiqiang Yan, Junfeng He, Xiaoyan Hu, Qiming Li, Haiyan Liu
OBJECTIVE: To compare the effects of MRI- and CT-guided interventional therapies on uterine fibroids. METHODS: A total of 280 patients with uterine fibroids who were treated in our hospital from August 2008 to February 2014 were selected and divided into a treatment group and a control group by random draw (n=140). The control group and the treatment group were subjected to CT- and MRI-guided interventional therapies for uterine artery embolization. RESULTS: After three months of treatment, 94...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27872351/uterine-fibroid-embolization-with-acrylamido-polyvinyl-microspheres-prospective-12-month-clinical-and-mri-follow-up-study
#7
Stevo Duvnjak, Pernille Ravn, Anders Green, Poul Erik Andersen
BACKGROUND: Uterine fibroid embolization (UFE) is an effective minimally invasive treatment aimed to obtain complete fibroid infarction. PURPOSE: To evaluate the degree of fibroid infarction after embolization with acrylamido polyvinyl alcohol microspheres (Bead Block). MATERIAL AND METHODS: This prospective study included 26 pre-menopausal women in the period October 2013 to January 2015. UFE with the use of Bead Block microspheres 700-900 µm was obtained until flow stasis was achieved...
November 21, 2016: Acta Radiologica
https://www.readbyqxmd.com/read/27799061/hyperkalemia-and-acute-kidney-failure-associated-with-preoperative-uterine-artery-embolization-for-a-large-uterine-fibroid-a-case-report
#8
Keiko Tanaka, Toshimitsu Koizumi, Takeru Higa, Noriaki Imai
BACKGROUND: Preoperative uterine artery embolization has been shown to help reduce blood loss, with few complications. Most reports indicated that uterine artery embolization is safe for uterine fibrosis; the occurrence of hyperkalemia and acute kidney failure as complications of preoperative uterine artery embolization has not been reported previously. Here we report the occurrence of hyperkalemia and acute kidney failure after preoperative uterine artery embolization for a large uterine fibroid...
November 1, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27697621/the-effects-of-uterine-artery-embolization-on-ovarian-reserve
#9
Chang-Woon Kim, Haeng Seon Shim, Hong Jang, Yun Gyu Song
OBJECTIVE: To evaluate the effects of UAE for symptomatic uterine fibroids on ovarian reserve based on AMH. STUDY DESIGN: This was a retrospective study conducted between March 2011 and October 2014. All women underwent UAE. At baseline and at the 3-month and 12-month follow-up visits, serum anti-Müllerian hormone (AMH), follicle stimulating hormone (FSH), luteinizing hormone (LH), and estradiol (E2) levels were assessed, and ovarian volume and antral follicle count (AFC) were evaluated in each patient...
November 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27679142/intraoperative-monitoring-and-evaluation-of-mri-in-women-of-reproductive-age-after-previously-performed-uterine-artery-embolization-uae-and-mrgfus-ablation-of-fibroids
#10
I E Porotikova, L V Adamyan, T Y Gavrilova, E A Kulabukhova
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27651639/clinicopathological-study-of-uterine-leiomyomas-a-multicentric-study-in-rural-population
#11
Maitri Raghavendra Kulkarni, Indranil Dutta, Dilip Kumar Dutta
BACKGROUND AND OBJECTIVES: Leiomyoma of uterus forms the most common type of benign tumor of uterus and also the most common pelvic tumor in women. The symptomatology continues to be variable. Surgery has for long been the main mode of therapy for the myomas. For women who wish to retain the uterus for future pregnancies or other reasons, myomectomy is preferred. Recent trend has been toward nonsurgical approaches like GnRH hormone analogs/agonists, RU 486, or selective uterine artery embolization, laparoscopic cryoablation, radiofrequency thermal ablation, and MRGUs...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27632930/laparoscopic-management-of-huge-myoma-nascendi
#12
Nuri Peker, Savas Gündoğan, Fatih Şendağ
STUDY OBJECTIVE: To demonstrate the feasibility of laparoscopic management of a huge myoma nascendi. DESIGN: Step-by-step video demonstration of the surgical procedure (Canadian Task Force classification III-C). SETTING: Uterine myoma is the most common benign neoplasm of the female reproductive tract, with an estimated incidence of 25% to 30% at reproductive age [1,2]. Patients generally have no symptoms; however, those with such symptoms as severe pelvic pain, heavy uterine bleeding, or infertility may be candidates for surgery...
September 12, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27632929/laparoscopic-management-of-huge-cervical-myoma
#13
Nuri Peker, Savaş Gündoğan, Fatih Şendağ
STUDY OBJECTIVE: To demonstrate the feasibility of laparoscopic management of a huge cervical myoma. DESIGN: Step-by-step video demonstration of the surgical procedure (Canadian Task Force classification III-C). SETTING: Uterine myoma is the most common benign neoplasm of the female reproductive tract, with an estimated incidence of 25% to 30% at reproductive age [1,2]. Patients generally have no symptoms; however, those with such symptoms as severe pelvic pain, heavy uterine bleeding, or infertility may be candidates for surgery...
September 12, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27597909/bleeding-versus-clotting-a-complex-case-of-a-large-fibroid-uterus-causing-menorrhagia-and-a-dvt
#14
Sangeeta Ramanan, Jude Chapman-Wardy, Roy Watson
A 43-year-old woman presented with severe anaemia secondary to menorrhagia. Pelvic ultrasound showed a large intramural posterior fundal fibroid. Hysteroscopy showed the fibroid distorting the endometrial cavity, precluding Mirena® device insertion. As she was initially hesitant to have a hysterectomy, medical management with the oral contraceptive pill (OCP) and tranexamic acid was instituted, with good effect. Months later, after a long road trip, she presented with left leg swelling, and a Doppler ultrasound confirmed an extensive deep vein thrombosis (DVT)...
2016: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27574469/efficacies-of-uterine-artery-embolization-for-symptomatic-uterine-fibroids-using-gelatin-sponge-a-single-center-experience-and-literature-review
#15
Aska Toda, Kenjiro Sawada, Keigo Osuga, Noboru Maeda, Hiroki Higashihara, Tomoyuki Sasano, Noriyuki Tomiyama, Tadashi Kimura
AIM: The aim of this study was to retrospectively analyze the efficacies of uterine artery embolization (UAE) using gelatin sponge for symptomatic uterine fibroids. METHODS: A series of 60 consecutive premenopausal women underwent UAE using gelatin sponge particles or porous gelatin particles. Patients were routinely followed up at 1, 3, 6, and 12 months after the procedure and asked to report any procedure-related complications. At each follow-up, an original clinical questionnaire was completed by the patients to evaluate changes in fibroid-related symptoms...
2016: International Journal of Women's Health
https://www.readbyqxmd.com/read/27533290/management-of-uterine-fibroids-a-focus-on-uterine-sparing-interventional-techniques
#16
James E Silberzweig, Daniel K Powell, Alan H Matsumoto, James B Spies
Uterine fibroids occur in approximately 50% of women over the age of 40 years, and an estimated 50% of those are symptomatic. Menorrhagia is the most common symptom and the primary indication for treatment, although bulk symptoms often occur and can be treated. Pharmacotherapy is typically inadequate unless it can be expected to successfully bridge to menopause or allow for a less-invasive intervention. However, hormonal therapies have risks. Hysterectomy is still the most commonly performed procedure for symptomatic fibroids and has the lowest rate of reintervention (compared with myomectomy or uterine artery embolization [UAE]), but rates of more serious complications are higher and patient satisfaction and ability to return to normal activities may also be less favorable...
September 2016: Radiology
https://www.readbyqxmd.com/read/27466209/uterine-fibroid-management-from-the-present-to-the-future
#17
REVIEW
Jacques Donnez, Marie-Madeleine Dolmans
Uterine fibroids (also known as leiomyomas or myomas) are the most common form of benign uterine tumors. Clinical presentations include abnormal bleeding, pelvic masses, pelvic pain, infertility, bulk symptoms and obstetric complications.Almost a third of women with leiomyomas will request treatment due to symptoms. Current management strategies mainly involve surgical interventions, but the choice of treatment is guided by patient's age and desire to preserve fertility or avoid 'radical' surgery such as hysterectomy...
November 2016: Human Reproduction Update
https://www.readbyqxmd.com/read/27393268/uterine-artery-embolization-vs-hysterectomy-in-the-treatment-of-symptomatic-uterine-fibroids-10-year-outcomes-from-the-randomized%C3%A2-emmy-trial
#18
Annefleur M de Bruijn, Willem M Ankum, Jim A Reekers, Erwin Birnie, Sanne M van der Kooij, Nicole A Volkers, Wouter J K Hehenkamp
BACKGROUND: Since 1995 uterine artery embolization has been described as an alternative for hysterectomy in patients with symptomatic fibroids. Many studies including several randomized controlled trials established uterine artery embolization as a valuable treatment. These randomized controlled trials reported outcomes in terms of health-related quality of life, clinical outcomes, efficacy, and cost-effectiveness after 1, 2, and 5 years of follow-up. OBJECTIVE: The purpose of this study was to compare clinical outcome and health-related quality of life 10 years after uterine artery embolization or hysterectomy in the treatment of heavy menstrual bleeding caused by uterine fibroids in a randomized controlled trial...
December 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27384609/diagnostic-reference-levels-and-complexity-indices-in-interventional-radiology-a-national-programme
#19
MULTICENTER STUDY
R Ruiz-Cruces, E Vano, F Carrera-Magariño, F Moreno-Rodriguez, M M Soler-Cantos, M Canis-Lopez, J Hernández-Armas, F J Diaz-Romero, F Rosales-Espizua, J M Fernandez-Soto, R Sanchez-Casanueva, A Martin-Palanca, M Perez-Martinez, A Gil-Agudo, M A Zarca-Diaz, V Parra-Osorio, J J Muñoz Ruiz-Canela, T Moreno-Sanchez, A Lopez-Medina, C Moreno-Saiz, P Galan-Montenegro, J J Gallego-Beuter, M Gonzalez-de-Garay, J C Zapata-Jimenez, J M Pastor-Vega, S Cañete
OBJECTIVES: To propose national diagnostic reference levels (DRLs) for interventional radiology and to evaluate the impact of the procedural complexity on patient doses. METHODS: Eight interventional radiology units from Spanish hospitals were involved in this project. The participants agreed to undergo common quality control procedures for X-ray systems. Kerma area product (KAP) was collected from a sample of 1,649 procedures. A consensus document established the criteria to evaluate the complexity of seven types of procedures...
December 2016: European Radiology
https://www.readbyqxmd.com/read/27374196/tunable-delivery-of-niflumic-acid-from-resorbable-embolization-microspheres-for-uterine-fibroid-embolization
#20
Laurent Bédouet, Laurence Moine, Emeline Servais, Anne Beilvert, Denis Labarre, Alexandre Laurent
Uterine arteries embolization (UAE) is a recent technique that aims, by means of particles injected percutaneously, to stifle fibroids (leiomyomas). This treatment is non-invasive, compared with uterine ablation, but generates pelvic pain for a few days. A strategy to reduce the post-embolization pain would be to use calibrated embolization microspheres preloaded with a non-steroidal inflammatory drug (NSAID). In this study, we first compared four drugs, all active at low concentration on cyclooxygenase-2, i...
September 10, 2016: International Journal of Pharmaceutics
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