[Arterial embolization of uterine myoma: results apropos of 286 cases].
OBJECTIVE
Report outcome in non-surgical treatment of symptomatic uterine myomata by particulate arterial embolization.


METHODS
and method: Two hundred eighty-six women aged 21 to 53 years with symptomatic uterine fibroids initially programmed for surgery were studied. The size and number of myomata were determined by pelvic ultrasound. After retrograde transfemoral introduction of a 4 French catheter, the left and right uterine arteries were successively catheterized. PVA particles were injected by free flow until devascularization.


RESULTS
Two hundred sixty-two patients were evaluable. Complete resolution of symptoms was obtained in 245 cases. There were 17 failures. A marked reduction in the size of the myomata was observed (60% at six months). Hemorrhage disappeared in 80% of the cases immediately. Thirteen pregnancies were observed. No recurrence were observed. Complications were rare.


CONCLUSIONS
Particulate embolization is a new minimally invasive treatment for uterine myomata which provides a alternative to hysterectomy and can replace myomectomy in young women.
Ravina
J H
JH
Clinique Spontini, 68 bis rue Spontini, 75116 Paris, France.
Aymard
A
A
Ciraru-Vigneron
N
N
Ledreff
O
O
Merland
J J
JJ
D000328:Adult; D001158:Arteries; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000628:therapy*; D008875:Middle Aged; D011247:Pregnancy; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000628:therapy*; D014599:Uterus / Q000098:blood supply