Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Mar;35(1):48-55.
doi: 10.1055/s-0038-1636521. Epub 2018 Apr 5.

Updates on Uterine Artery Embolization

Maureen P Kohi  1 , James B Spies  2
Affiliations
Review

Updates on Uterine Artery Embolization

Maureen P Kohi et al. Semin Intervent Radiol. 2018 Mar.

Abstract

Uterine fibroids (leiomyomas) are the most common benign neoplasm of the female pelvis and have a lifetime prevalence exceeding 80% among African American women and approaching 70% among Caucasian women. Approximately 50% of women with fibroids experience symptoms which may include menorrhagia that may result in anemia, bulk symptoms with bladder and bowel dysfunction and abdominal protrusion, dysmenorrhea, and infertility. Hysterectomy remains the most common treatment option for fibroids and concerns have been raised about the overuse of this procedure. Uterine artery embolization (UAE) is now a well-established uterine preserving and minimally invasive therapy for symptomatic fibroids. Since its introduction, strong evidence for safety and efficacy of UAE has been generated with low rates of complications. This review will discuss UAE for the management of symptomatic uterine fibroids with special focus on emerging technical approaches and novel periprocedural patient care.

Keywords: embolization; fibroid; interventional radiology; menorrhagia; uterus.

PubMed Disclaimer

References

    1. Stewart E A. Clinical practice. Uterine fibroids. N Engl J Med. 2015;372(17):1646–1655. - PubMed
    1. Silberzweig J E, Powell D K, Matsumoto A H, Spies J B. Management of uterine fibroids: a focus on uterine-sparing interventional techniques. Radiology. 2016;280(03):675–692. - PubMed
    1. Stewart E A, Shuster L T, Rocca W A. Reassessing hysterectomy. Minn Med. 2012;95(03):36–39. - PMC - PubMed
    1. Ravina J H, Herbreteau D, Ciraru-Vigneron Net al. Arterial embolisation to treat uterine myomata Lancet 1995346(8976):671–672. - PubMed
    1. Spies J B. Current evidence on uterine embolization for fibroids. Semin Intervent Radiol. 2013;30(04):340–346. - PMC - PubMed