title: Factors affecting early surgical intervention after uterine artery embolization.
abstract: Uterine artery embolization (UAE) is an effective technique for the management of uterine myoma. However, complications of this procedure can be serious, including uterine infection and bowel necrosis in conjunction with necrosis of subserous or pedunculated myomas. Treatment failure is more likely to occur in the presence of submucosal myoma associated with a uterine infection or a large myoma of more than 8 cm. Accordingly, patients whose primary symptoms include submucosal myoma and menorrhagia are best treated with a hysteroscopic myomectomy or hysterectomy. The role of the gynecologist is crucial for most effective management and safe use of uterine artery embolization.
  
  
  BACKGROUND
  Obstetricians & Gynecologists, Family Physicians
  
  
  OBJECTIVE
  After completion of this article, the reader will be able to list the complications of uterine artery embolization for fibroids, to describe postembolization syndrome, and identify the myomas that are more likely to fail uterine artery embolization.
authors.affiliation: McGill University, Montreal, Quebec, Canada.
authors.forename: Haya
authors.initials: H
authors.lastname: Al-Fozan
authors.forename: Togas
authors.initials: T
authors.lastname: Tulandi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000628:therapy*; D008875:Middle Aged; D009336:Necrosis; D012307:Risk Factors; D012772:Shock, Septic / Q000209:etiology* / Q000601:surgery; D014594:Uterine Neoplasms / Q000628:therapy*; D014599:Uterus / Q000098:blood supply