UTERINE ARTERY EMBOLIZATION: DIFFERENT INDICATIONS AND OUTCOME
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 33
Abstract
BACKGROUND Uterine Artery Embolization is an Interventional Radiology technique involving placement of a catheter and injection of an embolizing agent in the uterine artery. It has now become an accepted option for the treatment of symptomatic fibroids and other gynaecological conditions. This study seeks to report the different indications and outcomes of uterine artery embolization for variety of gynaecological and obstetrical conditions. METHODS 30 women who presented for uterine artery embolization in a tertiary care teaching hospital in eastern India from June 2016 to May 2017 were retrospectively studied with follow-up up to 12 months for indications, success rate and complications. RESULTS Technical success rate was achieved in 96.67% of cases. The most common indication for embolization was uterine fibroids. Mean reduction of fibroid volume was 51.7% at 6 weeks, 67.9% at 6 months. Most common complaint following embolization was pelvic pain, which could be managed conservatively. CONCLUSIONS Uterine artery embolization is a safe and effective minimally invasive technique which can be used to manage different obstetrical and gynaecological conditions with high technical success rate and minimal complications. It is also a minimally invasive, uterus sparing treatment option in patients willing to preserve their fertility.
Authors and Affiliations
Aprateem Mukherjee, Bhaskar Bhattacharyya, Riya Chakrabarty, Debashis Dakshit
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