Uterine artery embolization for the treatment of uterine fibroids

Uterine leiomyomata are a frequent finding in a gynecologist’s practice. Until recently, options for management have been limited. A relatively new procedure is gaining popularity as another option for a select group of patients. The treatment of choice for definitive management remains hysterectomy...

Full description

Saved in:
Bibliographic Details
Published inPrimary care update for Ob/Gyns Vol. 8; no. 6; pp. 232 - 239
Main Authors Stepp, Kevin J., Newman, James S., Bradley, Linda D.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 2001
Online AccessGet full text

Cover

Abstract Uterine leiomyomata are a frequent finding in a gynecologist’s practice. Until recently, options for management have been limited. A relatively new procedure is gaining popularity as another option for a select group of patients. The treatment of choice for definitive management remains hysterectomy. However, uterine artery embolization (UAE) can be considered in certain women. We discuss the indications, benefits, risks, and potential complications of UAE. We review recent literature including results and complication rates. A proposed protocol is introduced for patient selection, preoperative assessment, and postprocedural follow-up. A coordinated effort is recommended, including incorporating a multiteam approach with the interventional radiologist, pain management service, and gynecologist. A brief technical review of the procedure is included. (Primary Care Update Ob/Gyns 2001;8:232–239
AbstractList Uterine leiomyomata are a frequent finding in a gynecologist’s practice. Until recently, options for management have been limited. A relatively new procedure is gaining popularity as another option for a select group of patients. The treatment of choice for definitive management remains hysterectomy. However, uterine artery embolization (UAE) can be considered in certain women. We discuss the indications, benefits, risks, and potential complications of UAE. We review recent literature including results and complication rates. A proposed protocol is introduced for patient selection, preoperative assessment, and postprocedural follow-up. A coordinated effort is recommended, including incorporating a multiteam approach with the interventional radiologist, pain management service, and gynecologist. A brief technical review of the procedure is included. (Primary Care Update Ob/Gyns 2001;8:232–239
Author Stepp, Kevin J.
Bradley, Linda D.
Newman, James S.
Author_xml – sequence: 1
  givenname: Kevin J.
  surname: Stepp
  fullname: Stepp, Kevin J.
  organization: Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
– sequence: 2
  givenname: James S.
  surname: Newman
  fullname: Newman, James S.
  organization: Department of Radiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
– sequence: 3
  givenname: Linda D.
  surname: Bradley
  fullname: Bradley, Linda D.
  organization: Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
BookMark eNqFkE1LAzEQhoNUsFV_gpCjHlYn2TQfJynFLyh40IK3kM3OYqTdSBKF-uvdfnj2NO9hnpeZZ0JGfeyRkAsG1wyYvHlhIHUlQb1dArsCAK0qdUTGTCtdCa7r0ZD_Vk7IJOcPAKaY0GMyWxZMoUfq0hA2FNdNXIUfV0LsaRcTLe9IS0JX1tgXGjv6dQC60KQY2nxGjju3ynh-mKdkeX_3On-sFs8PT_PZovJMQam4r1vhvEFhFPfOoDRatFpwbiRHP1VOS64BpWx8o4zyWHtlBO-aqfRcmvqUTPe9PsWcE3b2M4W1SxvLwG492J0Hu33SArM7D1YN3O2ew-G474DJZh-w99iGhL7YNoZ_Gn4B09FnmA
Cites_doi 10.1111/j.1471-0528.1998.tb10060.x
10.1148/radiology.204.3.9280261
10.1016/S0140-6736(99)02987-6
10.1016/S1051-0443(97)70603-1
10.1016/S1051-0443(07)61627-3
10.1016/S0002-9378(96)70680-4
10.1016/S0015-0282(00)00497-0
10.1016/S0140-6736(95)92282-2
10.1148/radiology.208.3.9722838
10.1016/S0015-0282(00)01678-2
ContentType Journal Article
Copyright 2001 Elsevier Science Inc.
Copyright_xml – notice: 2001 Elsevier Science Inc.
DBID AAYXX
CITATION
DOI 10.1016/S1068-607X(01)00087-7
DatabaseName CrossRef
DatabaseTitle CrossRef
DatabaseTitleList
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1878-4283
EndPage 239
ExternalDocumentID 10_1016_S1068_607X_01_00087_7
S1068607X01000877
GroupedDBID --K
--M
.~1
0R~
123
1B1
1~.
1~5
29O
4G.
53G
5VS
7-5
71M
8P~
AABNK
AACTN
AAEDT
AAEDW
AAIKJ
AAKOC
AALRI
AAOAW
AAQFI
AAQXK
AAXUO
ABBQC
ABLVK
ABMAC
ABXDB
ABYKQ
ACDAQ
ACGFS
ACIUM
ACJTP
ACRLP
ADEZE
ADMUD
AEKER
AFKWA
AFTJW
AFXBA
AFXIZ
AGHFR
AGUBO
AGYEJ
AIEXJ
AIKHN
AISVY
AITUG
AJBFU
AJOXV
AJRQY
ALMA_UNASSIGNED_HOLDINGS
AMFUW
AMRAJ
AXJTR
BKOJK
BLXMC
CS3
EBS
EFJIC
EFLBG
EJD
EO8
EO9
EP2
EP3
F5P
FDB
FEDTE
FGOYB
FIRID
FNPLU
FYGXN
G-Q
HVGLF
HZ~
IHE
KOM
LCYCR
M41
MO0
N9A
NAHTW
O-L
O9-
OAUVE
OZT
P-9
PC.
Q38
R2-
RIG
ROL
RPZ
SDF
SDG
SNG
SSH
SSZ
T5K
UHS
AAXKI
AAYXX
AKRWK
CITATION
ID FETCH-LOGICAL-c170t-2c3d4ac9e4972ca9e6984d8422962ec57a86280e66bcb797ce3c7942fb56c2693
IEDL.DBID AIKHN
ISSN 1068-607X
IngestDate Thu Sep 12 17:33:09 EDT 2024
Fri Feb 23 02:25:27 EST 2024
IsPeerReviewed true
IsScholarly true
Issue 6
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c170t-2c3d4ac9e4972ca9e6984d8422962ec57a86280e66bcb797ce3c7942fb56c2693
PageCount 8
ParticipantIDs crossref_primary_10_1016_S1068_607X_01_00087_7
elsevier_sciencedirect_doi_10_1016_S1068_607X_01_00087_7
PublicationCentury 2000
PublicationDate 2001-00-00
PublicationDateYYYYMMDD 2001-01-01
PublicationDate_xml – year: 2001
  text: 2001-00-00
PublicationDecade 2000
PublicationTitle Primary care update for Ob/Gyns
PublicationYear 2001
Publisher Elsevier Inc
Publisher_xml – name: Elsevier Inc
References 11. Anonymous. UAE survey results: over 4,000 procedures performed in US to date. SCVIR News 1999;12:7.
Ravina, Bouret, Cirary-Vigneron (BIB14) 1997; 181
Vashisht, Studd, Carey, Burn (BIB7) 1999; 354
Amato, Roberts (BIB9) 2001; 75
Worthington-Kirsch, Hutchinson, Popky (BIB15) 1997; 206
Bradley, Reidy, Forman, Jarosz, Braude (BIB8) 1998; 105
Chrisman, Smith, Nemcek (BIB10) 2000; 11
Goodwin, Vedanthan, McLucas, Forno, Perrella (BIB12) 1997; 8
Stancato-Pasik, Mitty, Richard, Eshkar (BIB6) 1997; 204
Ravina, Herbreteau, Ciraru-Vigneron (BIB2) 1995; 346
Heaston, Mineau, Brown, Miller (BIB1) 1979; 133
Bradley, Reidy, Forman, Jarosz, Braude (BIB13) 1998; 105
Widrich, Bradley, Mitchinson, Collins (BIB3) 1996; 174
Worthington-Kirsch, Popky, Hutchins (BIB5) 1998; 208
Ravina, Vigneron, Aymard, Le Dref, Merland (BIB4) 2000; 73
Widrich (10.1016/S1068-607X(01)00087-7_BIB3) 1996; 174
Chrisman (10.1016/S1068-607X(01)00087-7_BIB10) 2000; 11
Stancato-Pasik (10.1016/S1068-607X(01)00087-7_BIB6) 1997; 204
Ravina (10.1016/S1068-607X(01)00087-7_BIB4) 2000; 73
Amato (10.1016/S1068-607X(01)00087-7_BIB9) 2001; 75
Ravina (10.1016/S1068-607X(01)00087-7_BIB14) 1997; 181
Ravina (10.1016/S1068-607X(01)00087-7_BIB2) 1995; 346
Vashisht (10.1016/S1068-607X(01)00087-7_BIB7) 1999; 354
10.1016/S1068-607X(01)00087-7_BIB11
Bradley (10.1016/S1068-607X(01)00087-7_BIB8) 1998; 105
Worthington-Kirsch (10.1016/S1068-607X(01)00087-7_BIB5) 1998; 208
Goodwin (10.1016/S1068-607X(01)00087-7_BIB12) 1997; 8
Bradley (10.1016/S1068-607X(01)00087-7_BIB13) 1998; 105
Worthington-Kirsch (10.1016/S1068-607X(01)00087-7_BIB15) 1997; 206
Heaston (10.1016/S1068-607X(01)00087-7_BIB1) 1979; 133
References_xml – volume: 346
  start-page: 671
  year: 1995
  end-page: 672
  ident: BIB2
  article-title: Arterial embolization to treat uterine myomata
  publication-title: Lancet
  contributor:
    fullname: Ciraru-Vigneron
– volume: 181
  start-page: 233
  year: 1997
  end-page: 243
  ident: BIB14
  article-title: Application of particulate arterial embolization in the treatment of uterine fibromyomata
  publication-title: Bull Acad Natl Med
  contributor:
    fullname: Cirary-Vigneron
– volume: 75
  start-page: 438
  year: 2001
  end-page: 439
  ident: BIB9
  article-title: Transient ovarian failure
  publication-title: Fertil Steril
  contributor:
    fullname: Roberts
– volume: 105
  start-page: 235
  year: 1998
  end-page: 240
  ident: BIB13
  article-title: Transcatheter uterine artery embolization to treat large uterine fibroids
  publication-title: Br J Obstet Gynaecol
  contributor:
    fullname: Braude
– volume: 8
  start-page: 517
  year: 1997
  end-page: 526
  ident: BIB12
  article-title: Preliminary experience with uterine artery embolization for uterine fibroids
  publication-title: J Vasc Interv Radiol
  contributor:
    fullname: Perrella
– volume: 206
  start-page: 575
  year: 1997
  ident: BIB15
  article-title: Uterine artery embolization of symptomatic fibroids
  publication-title: Radiology
  contributor:
    fullname: Popky
– volume: 73
  start-page: 1241
  year: 2000
  end-page: 1243
  ident: BIB4
  article-title: Pregnancy after embolization of uterine myoma
  publication-title: Fertil Steril
  contributor:
    fullname: Merland
– volume: 208
  start-page: 625
  year: 1998
  end-page: 629
  ident: BIB5
  article-title: Uterine arterial embolization for the management of leiomyomas
  publication-title: Radiology
  contributor:
    fullname: Hutchins
– volume: 174
  start-page: 1327
  year: 1996
  end-page: 1334
  ident: BIB3
  article-title: Comparison of saline infusion sonography with office hysteroscopy for the evaluation of the endometrium
  publication-title: Am J Obstet Gynecol
  contributor:
    fullname: Collins
– volume: 204
  start-page: 791
  year: 1997
  end-page: 793
  ident: BIB6
  article-title: Obstetric embolotherapy
  publication-title: Radiology
  contributor:
    fullname: Eshkar
– volume: 105
  start-page: 235
  year: 1998
  end-page: 240
  ident: BIB8
  article-title: Transcatheter uterine artery embolization to treat large uterine fibroids
  publication-title: Br J Obstet Gynaecol
  contributor:
    fullname: Braude
– volume: 354
  start-page: 307
  year: 1999
  end-page: 308
  ident: BIB7
  article-title: Fatal septicaemia after fibroid embolization
  publication-title: Lancet
  contributor:
    fullname: Burn
– volume: 133
  start-page: 152
  year: 1979
  end-page: 154
  ident: BIB1
  article-title: Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation
  publication-title: Am J Radiol
  contributor:
    fullname: Miller
– volume: 11
  start-page: 172
  year: 2000
  ident: BIB10
  article-title: The impact of uterine artery embolization (UAE) on resumption of menses and ovarian function
  publication-title: J Vasc Interv Radiol
  contributor:
    fullname: Nemcek
– volume: 105
  start-page: 235
  year: 1998
  ident: 10.1016/S1068-607X(01)00087-7_BIB8
  article-title: Transcatheter uterine artery embolization to treat large uterine fibroids
  publication-title: Br J Obstet Gynaecol
  doi: 10.1111/j.1471-0528.1998.tb10060.x
  contributor:
    fullname: Bradley
– volume: 204
  start-page: 791
  year: 1997
  ident: 10.1016/S1068-607X(01)00087-7_BIB6
  article-title: Obstetric embolotherapy
  publication-title: Radiology
  doi: 10.1148/radiology.204.3.9280261
  contributor:
    fullname: Stancato-Pasik
– volume: 354
  start-page: 307
  year: 1999
  ident: 10.1016/S1068-607X(01)00087-7_BIB7
  article-title: Fatal septicaemia after fibroid embolization
  publication-title: Lancet
  doi: 10.1016/S0140-6736(99)02987-6
  contributor:
    fullname: Vashisht
– volume: 8
  start-page: 517
  year: 1997
  ident: 10.1016/S1068-607X(01)00087-7_BIB12
  article-title: Preliminary experience with uterine artery embolization for uterine fibroids
  publication-title: J Vasc Interv Radiol
  doi: 10.1016/S1051-0443(97)70603-1
  contributor:
    fullname: Goodwin
– volume: 206
  start-page: 575
  year: 1997
  ident: 10.1016/S1068-607X(01)00087-7_BIB15
  article-title: Uterine artery embolization of symptomatic fibroids
  publication-title: Radiology
  contributor:
    fullname: Worthington-Kirsch
– volume: 105
  start-page: 235
  year: 1998
  ident: 10.1016/S1068-607X(01)00087-7_BIB13
  article-title: Transcatheter uterine artery embolization to treat large uterine fibroids
  publication-title: Br J Obstet Gynaecol
  doi: 10.1111/j.1471-0528.1998.tb10060.x
  contributor:
    fullname: Bradley
– volume: 181
  start-page: 233
  year: 1997
  ident: 10.1016/S1068-607X(01)00087-7_BIB14
  article-title: Application of particulate arterial embolization in the treatment of uterine fibromyomata
  publication-title: Bull Acad Natl Med
  contributor:
    fullname: Ravina
– volume: 11
  start-page: 172
  year: 2000
  ident: 10.1016/S1068-607X(01)00087-7_BIB10
  article-title: The impact of uterine artery embolization (UAE) on resumption of menses and ovarian function
  publication-title: J Vasc Interv Radiol
  doi: 10.1016/S1051-0443(07)61627-3
  contributor:
    fullname: Chrisman
– volume: 174
  start-page: 1327
  year: 1996
  ident: 10.1016/S1068-607X(01)00087-7_BIB3
  article-title: Comparison of saline infusion sonography with office hysteroscopy for the evaluation of the endometrium
  publication-title: Am J Obstet Gynecol
  doi: 10.1016/S0002-9378(96)70680-4
  contributor:
    fullname: Widrich
– ident: 10.1016/S1068-607X(01)00087-7_BIB11
– volume: 73
  start-page: 1241
  year: 2000
  ident: 10.1016/S1068-607X(01)00087-7_BIB4
  article-title: Pregnancy after embolization of uterine myoma
  publication-title: Fertil Steril
  doi: 10.1016/S0015-0282(00)00497-0
  contributor:
    fullname: Ravina
– volume: 346
  start-page: 671
  year: 1995
  ident: 10.1016/S1068-607X(01)00087-7_BIB2
  article-title: Arterial embolization to treat uterine myomata
  publication-title: Lancet
  doi: 10.1016/S0140-6736(95)92282-2
  contributor:
    fullname: Ravina
– volume: 208
  start-page: 625
  year: 1998
  ident: 10.1016/S1068-607X(01)00087-7_BIB5
  article-title: Uterine arterial embolization for the management of leiomyomas
  publication-title: Radiology
  doi: 10.1148/radiology.208.3.9722838
  contributor:
    fullname: Worthington-Kirsch
– volume: 75
  start-page: 438
  year: 2001
  ident: 10.1016/S1068-607X(01)00087-7_BIB9
  article-title: Transient ovarian failure
  publication-title: Fertil Steril
  doi: 10.1016/S0015-0282(00)01678-2
  contributor:
    fullname: Amato
– volume: 133
  start-page: 152
  year: 1979
  ident: 10.1016/S1068-607X(01)00087-7_BIB1
  article-title: Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation
  publication-title: Am J Radiol
  contributor:
    fullname: Heaston
SSID ssj0017148
Score 1.489847
Snippet Uterine leiomyomata are a frequent finding in a gynecologist’s practice. Until recently, options for management have been limited. A relatively new procedure...
SourceID crossref
elsevier
SourceType Aggregation Database
Publisher
StartPage 232
Title Uterine artery embolization for the treatment of uterine fibroids
URI https://dx.doi.org/10.1016/S1068-607X(01)00087-7
Volume 8
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3NS8MwFH_sA8SL-InzY-TgQQ_d0jbNx3EMx3S4gzrcLbRZAgNdh3YHL_7tJm02FcSDUAgE3iP80r730vx-CcAFVobFJjaBuw8wIJkKAzFzp4iSLCY0ZZiokuU7psMJuZ0m0xr011oYR6v0sb-K6WW09j1dj2Z3OZ93H0KnbsBsit0vas5YHZo2HRHSgGbvZjQcbzYTWEgqRRzlgTP4EvJUTsrOSxxelX4C9nuK-pZ2Bruw4-tF1KuGtAc1vdiHrTu_I34AvUlRCvhQyc18R_oly5-9thLZghTZAg9t2OQoN2jlDYxdKOfz2dshTAbXj_1h4K9FCFTIcBFEKp6RVAlNBItUKjQVnMw4iSJBI60SltpVCsea0kxlTDClY2W_ushkCVURFfERNBb5Qh8DMlhhbXhkiBEkMTG3jjk2misj4jA1LeiskZDL6vQLuaGFOeikg07iUJbQSdYCvsZL_phGaSP036Yn_zc9he2KGuaeM2gUryt9bmuFImtDvfMRtv0b4drR_dPoE-iaurs
link.rule.ids 315,786,790,4043,4521,24144,27956,27957,27958,45620,45714
linkProvider Elsevier
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LSwMxEB5qC-pFfGJ95uBBD2uzu9k8jkUsrX1cbKG3sJtNoKDdou3Bf2-ym1YF8SDsaWCG8G0ymSTflwDcYGVYbGITuPcAA5KpMBC5u0WUZDGhKcNElSzfEe1OyNM0mdbgYa2FcbRKn_urnF5ma29peTRbi9ms9Rw6dQNmU-y2qDljW9AgCQtJHRrtXr872hwmWFuliKM8cA5fQp4qSGm8xeFdGSdgv09R36adzj7s-XoRtasmHUBNzw9he-hPxI-gPVmWAj5UcjM_kH7NihevrUS2IEW2wEMbNjkqDFp5B2MXysUsfz-GSedx_NAN_LMIgQoZXgaRinOSKqGJYJFKhaaCk5yTKBI00iphqV2lcKwpzVTGBFM6VnbURSZLqIqoiE-gPi_m-hSQwQprwyNDjCCJibkNzLHRXBkRh6lpwv0aCbmobr-QG1qYg0466CQOZQmdZE3ga7zkj98obYb-2_Xs_67XsNMdDwdy0Bv1z2G3oom57wLqy7eVvrR1wzK78v3iE5ceuwo
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Uterine+artery+embolization+for+the+treatment+of+uterine+fibroids&rft.jtitle=Primary+care+update+for+Ob%2FGyns&rft.au=Stepp%2C+Kevin+J.&rft.au=Newman%2C+James+S.&rft.au=Bradley%2C+Linda+D.&rft.date=2001&rft.issn=1068-607X&rft.volume=8&rft.issue=6&rft.spage=232&rft.epage=239&rft_id=info:doi/10.1016%2FS1068-607X%2801%2900087-7&rft.externalDBID=n%2Fa&rft.externalDocID=10_1016_S1068_607X_01_00087_7
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1068-607X&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1068-607X&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1068-607X&client=summon