Coil embolization of a tuboovarian anastomosis before uterine artery embolization to prevent nontarget particle embolization of the ovary.
Uterine artery embolization (UAE) is being used more frequently as a primary treatment for uterine leiomyoma. Performing UAE in women who desire future fertility is controversial because of the risks of premature menopause and the undetermined effects on pregnancy. The etiology of ovarian failure after UAE is not yet clearly defined, but one of the leading possibilities is nontarget embolization of the ovaries. In this case report, the authors describe a technique of selective coil embolization of a uterine artery-to-ovarian artery communication before UAE performed specifically to protect the ovary from nontarget embolization.
Wolanske
Kristen A
KA
Department of Radiology, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, California 94143-0628, USA. kristen.wolanske@radiology.ucsf.edu
Gordon
Roy L
RL
Wilson
Mark W
MW
Kerlan
Robert K
RK
LaBerge
Jeanne M
JM
Jacoby
Alison F
AF
D000328:Adult; D003097:Collateral Circulation; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D005187:Fallopian Tubes / Q000098:blood supply; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000098:blood supply / Q000628:therapy*; D010053:Ovary / Q000098:blood supply*; D016649:Primary Ovarian Insufficiency / Q000209:etiology / Q000517:prevention & control*; D015641:Radiography, Interventional; D014594:Uterine Neoplasms / Q000098:blood supply / Q000628:therapy*