Uterine artery embolisation for uterine fibroids using a 4F Rosch inferior mesenteric catheter.
OBJECTIVE
To evaluate in a prospective study the use of a 4F Rosch inferior mesenteric (RIM) catheter for uterine artery embolisation (UAE).


METHODS
UAE was performed in 72 women over a 37-month period. A 4F RIM braided J-curve 65-cm catheter was used in combination with an angled hydrophilic 150 cm, 0.035" flexible tip guide-wire to catheterise the horizontal portion of both uterine arteries (UA) from a right common femoral artery (CFA) approach. Technical success was defined as successful catheterisation and embolisation of both uterine arteries. Fluorosocpic and procedure times were recorded.


RESULTS
Mean subject age=43.7 years (range=25-57 years). Technical success was 98.6% (n=71/72). A single approach via the right CFA was used in 88.9% (n=64/72) and a bilateral CFA approach in 11.1% (n=8/72). Bilateral uterine artery catheterisation using a single 4F RIM catheter via the right CFA approach was successful in 79.2% (n=57/72). Microcatheters were used in 2.8% of patients (n=2/72). Mean fluoroscopic time=13.6+/-5.3 min (mean+/-SD). Mean procedure time=44.2+/-16.5 min.


CONCLUSIONS
High technical success rate for UAE is possible using a single 4F RIM catheter via a unilateral right CFA approach, which obviates the need for Waltman loop formation, reversed curve catheters and complex suture-catheter arrangements.
Ho
Simon S M
SS
Department of Diagnostic Radiology and Organ Imaging, The Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong. ssmho@cuhk.edu.hk
Cowan
Nigel C
NC
D000328:Adult; D002404:Catheterization / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007889:Leiomyoma / Q000628:therapy*; D008875:Middle Aged; D015641:Radiography, Interventional; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000628:therapy*