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. 1995 Sep 9;346(8976):671-2.
doi: 10.1016/s0140-6736(95)92282-2.

Arterial embolisation to treat uterine myomata

J H Ravina  1 , D Herbreteau, N Ciraru-Vigneron, J M Bouret, E Houdart, A Aymard, J J Merland
Affiliations

Arterial embolisation to treat uterine myomata

J H Ravina et al. Lancet. .

Abstract

Haemorrhage, probably related to hypervascularisation, is the commonest complication of uterine myomata and is difficult to treat. 16 patients, aged 34-48 years, with symptomatic uterine myomata, for which a major surgical procedure was planned after failure of medical treatment, were treated by selective free-flow arterial embolisation of the myomata with Ivalon particles. With a mean follow-up of 20 months (range 11-48) in the responders, symptoms resolved in 11 patients; menstrual cycles returned to normal in ten of these. Three patients had partial improvement. Two failures required surgery. In 14 cases embolisation caused pelvic pain, which required analgesia in all.

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