Transcatheter uterine artery embolisation to treat large uterine fibroids
Bilateral uterine artery embolisation was performed to treat eight women with symptomatic large fibroids requiring treatment. Uterine volume was quantitatively assessed by magnetic resonance imaging. Both uterine arteries were occluded effectively in all women, and the procedure was well tolerated,...
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Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 1998-02, Vol.105 (2), p.235-240 |
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container_title | BJOG : an international journal of obstetrics and gynaecology |
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creator | Bradley, E. A. Reidy, J. F. Forman, R. G. Jarosz, J. Braude, P. R. |
description | Bilateral uterine artery embolisation was performed to treat eight women with symptomatic large fibroids requiring treatment. Uterine volume was quantitatively assessed by magnetic resonance imaging. Both uterine arteries were occluded effectively in all women, and the procedure was well tolerated, with a 24–36 hour admission for pain relief. The level of pain experienced was variable, but well controlled. Some women experienced intermittent vaginal discharge and pain following the procedure. Improvement of symptoms occurred in six of the seven women and the eighth woman conceived. There were no significant complications. At three months four women had a uterine volume of < 350 cm3. Embolisation appears to be a good alternative to surgery, but longer follow up is required to evaluate the long term effects and to determine those patients for whom the procedure is suitable. |
doi_str_mv | 10.1111/j.1471-0528.1998.tb10060.x |
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A.</creatorcontrib><creatorcontrib>Reidy, J. F.</creatorcontrib><creatorcontrib>Forman, R. G.</creatorcontrib><creatorcontrib>Jarosz, J.</creatorcontrib><creatorcontrib>Braude, P. R.</creatorcontrib><title>Transcatheter uterine artery embolisation to treat large uterine fibroids</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>Br J Obstet Gynaecol</addtitle><description>Bilateral uterine artery embolisation was performed to treat eight women with symptomatic large fibroids requiring treatment. Uterine volume was quantitatively assessed by magnetic resonance imaging. Both uterine arteries were occluded effectively in all women, and the procedure was well tolerated, with a 24–36 hour admission for pain relief. The level of pain experienced was variable, but well controlled. Some women experienced intermittent vaginal discharge and pain following the procedure. Improvement of symptoms occurred in six of the seven women and the eighth woman conceived. There were no significant complications. At three months four women had a uterine volume of < 350 cm3. Embolisation appears to be a good alternative to surgery, but longer follow up is required to evaluate the long term effects and to determine those patients for whom the procedure is suitable.</description><subject>Adult</subject><subject>Analgesics - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Catheterization</subject><subject>Embolization, Therapeutic - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Genital system. Mammary gland</subject><subject>Humans</subject><subject>Leiomyoma - complications</subject><subject>Leiomyoma - therapy</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain - prevention & control</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. 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A.</creator><creator>Reidy, J. F.</creator><creator>Forman, R. G.</creator><creator>Jarosz, J.</creator><creator>Braude, P. R.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199802</creationdate><title>Transcatheter uterine artery embolisation to treat large uterine fibroids</title><author>Bradley, E. A. ; Reidy, J. F. ; Forman, R. G. ; Jarosz, J. ; Braude, P. R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4645-43ad0653b5b5e678bcd8bfec43c7746f43218baae5a454dbb2e9aad41e58df313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Analgesics - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Catheterization</topic><topic>Embolization, Therapeutic - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Genital system. Mammary gland</topic><topic>Humans</topic><topic>Leiomyoma - complications</topic><topic>Leiomyoma - therapy</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pain - prevention & control</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Uterine Neoplasms - complications</topic><topic>Uterine Neoplasms - therapy</topic><topic>Uterus - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bradley, E. A.</creatorcontrib><creatorcontrib>Reidy, J. F.</creatorcontrib><creatorcontrib>Forman, R. G.</creatorcontrib><creatorcontrib>Jarosz, J.</creatorcontrib><creatorcontrib>Braude, P. 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R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter uterine artery embolisation to treat large uterine fibroids</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>Br J Obstet Gynaecol</addtitle><date>1998-02</date><risdate>1998</risdate><volume>105</volume><issue>2</issue><spage>235</spage><epage>240</epage><pages>235-240</pages><issn>1470-0328</issn><issn>0306-5456</issn><eissn>1471-0528</eissn><eissn>1365-215X</eissn><coden>BJOGAS</coden><abstract>Bilateral uterine artery embolisation was performed to treat eight women with symptomatic large fibroids requiring treatment. Uterine volume was quantitatively assessed by magnetic resonance imaging. Both uterine arteries were occluded effectively in all women, and the procedure was well tolerated, with a 24–36 hour admission for pain relief. The level of pain experienced was variable, but well controlled. Some women experienced intermittent vaginal discharge and pain following the procedure. Improvement of symptoms occurred in six of the seven women and the eighth woman conceived. There were no significant complications. At three months four women had a uterine volume of < 350 cm3. Embolisation appears to be a good alternative to surgery, but longer follow up is required to evaluate the long term effects and to determine those patients for whom the procedure is suitable.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9501794</pmid><doi>10.1111/j.1471-0528.1998.tb10060.x</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Analgesics - therapeutic use Biological and medical sciences Catheterization Embolization, Therapeutic - methods Female Follow-Up Studies Genital system. Mammary gland Humans Leiomyoma - complications Leiomyoma - therapy Medical sciences Middle Aged Pain - prevention & control Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Uterine Neoplasms - complications Uterine Neoplasms - therapy Uterus - blood supply |
title | Transcatheter uterine artery embolisation to treat large uterine fibroids |
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