Home Bratislava Medical Journal 2019 Bratislava Medical Journal Vol.120, No.10, p.734-738, 2019

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345
 

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Bratislava Medical Journal Vol.120, No.10, p.734-738, 2019

Title: Intraprocedural complications of uterine fibroid embolisation and their impact on long-term clinical outcome
Author: V. Javorka, M. Malik, M. Mizickova, S. Palenik, P. Mikula, M. Redecha

Abstract: OBJECTIVES: Authors evaluate the impact of intraprocedural complications on successful technical realisation and long-term clinical outcome of the uterine fibroid embolisation.
BACKGROUND: The uterine artery embolisation (UAE) has become an accepted treatment method for uterine fibroids. In general, the unilateral embolisation is considered to be insufficient due to poor clinical effect.
METHODS: Overall, 165 uterine artery embolisations were analysed (retrospectively-prospectively) in 163 female patients. Intraprocedural complications and their impact on the possibility to perform bilateral embolisationwere evaluated. In patients with unscheduled unilateral embolisation, short-term as well as long-term clinical effects were observed with mean follow-up period of 41 months.
RESULTS: The bilateral uterine artery embolisation was possible in 95.7 % (95 %, CI 91.3–99.4 %) procedures. The unilateral embolisation was reported in 7 procedures (4.3 %, CI 1.2–8.3 %) and reasons were following: resistant arterial spasm in 4 patients (2.5 %, CI 0.7 %–5.3 %) and impossible catheterisation due to unfavourable anatomic situation in 3 patients (1.8 %, CI 0.3–4.1 %). Other complications, such as dissection and perforation, did not affect the successful technical realisation. The long-term clinical effect of unscheduled unilateral embolisation was reported in 5 patients.
CONCLUSION: The results of our series of unscheduled unilateral uterine fibroid embolisation had high long-term clinical success rate. In way of unscheduled unilateral embolisation, we recommend MRI follow-up and reintervention only in way of persistence or recurrence of symptoms with concurrent MRI finding of residual fibroids(Tab. 5, Fig. 3, Ref. 12).

Keywords: uterine fibroid embolisation, unilateral embolisation
Published online: 28-Oct-2019
Year: 2019, Volume: 120, Issue: 10 Page From: 734, Page To: 738
doi:10.4149/BLL_2019_122


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