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- Title
UTERINE ARTERY EMBOLIZATION AS TREATMENT OF SYMPTOMATIC UTERINE FIBROIDS.
- Authors
Baciu, Mădălina-Cerasela; Codreanu, Roxana; Mărginean, Lucian
- Abstract
Background: Uterine fibroid (leiomyoma) is known as the most common benign uterine tumor of reproductive period affecting millions of women across the world. According to the specialized literature 20-50% of the existing fibroids will become symptomatic. Uterine artery embolization (UAE) is a minimally invasive procedure performed to treat fibroids by suppressing their blood supply. Objective: The purpose of this report is to summarize the technique, results and case particularity of a UAE in management of a symptomatic uterine fibroid following failed medical therapy. Material and methods: We will debate the case of a 43 years old woman accusing menorrhagia, lower abdominal pain and urinary problems, caused by the presence of a uterine leiomyoma, diagnosed by the gynecologist and treated by hormonal therapy, with no results. After the pre-procedural evaluation was carried out, an UAE has been proven to be the most appropriate treatment. This procedure is performed under local anesthesia and is based on the approach of the uterine arteries through the brachial artery followed by delivering of thousands Polyvinyl alcohol particles via the catheter in order to block the blood flow towards the fibroid. The entire procedure was fluoroscopically assisted. Results: After intervention a control angiography was performed in order to confirm the successful occlusion of peri-fibroid vessels. Patient complained moderate pain, nausea and cramps which were released by analgesics and anti-inflammatory during five days. She was discharged two days after the intervention and resumed her usual activities. Conclusions: UAE should be seen as an alternative therapy of uterine fibroids considering the shorter recovery time and hospitalization, the relieving of symptoms and the lower rate of major complications accompanied by minimal physical and psychological stress for the patient.
- Subjects
UTERINE artery; UTERINE fibroids; MENORRHAGIA; BRACHIAL artery; BENIGN tumors; UTERINE tumors
- Publication
Acta Medica Marisiensis, 2019, Vol 65, p56
- ISSN
2068-3324
- Publication type
Article