Arterial embolisation to treat uterine myomata.
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.
Ravina
J H
JH
Service de Gynécologie Obstétrique, Hôpital Lariboisière, Université Paris VII, France.
Herbreteau
D
D
Ciraru-Vigneron
N
N
Bouret
J M
JM
Houdart
E
E
Aymard
A
A
Merland
J J
JJ
D000328:Adult; D004621:Embolization, Therapeutic / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007889:Leiomyoma / Q000098:blood supply / Q000601:surgery / Q000628:therapy*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010166:Palliative Care; D017699:Pelvic Pain / Q000209:etiology; D014594:Uterine Neoplasms / Q000098:blood supply / Q000601:surgery / Q000628:therapy*