title: Pregnancy after uterine fibroid embolization: follow-up of 100 patients embolized using tris-acryl gelatin microspheres.
abstract: OBJECTIVE
  To evaluate pregnancies in women who had previously undergone uterine fibroid embolization.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  A city hospital in Spain.
  
  
  METHODS
  A cohort of 100 uterine fibroid embolization patients, 57 of whom wished to preserve their fertility.
  
  
  METHODS
  Uterine arteries were embolized by using 500-1,200 microm tris-acryl gelatin microspheres. After intervention, patient follow-up was performed at 1 week, 3 months, 6 months, and yearly.
  
  
  METHODS
  The number of pregnancies and course of pregnancy.
  
  
  RESULTS
  Eleven pregnancies in 10 women (19.2%). The pregnancies resulted in 8 live births, including 4 normal and 4 cesarean deliveries. Early miscarriage occurred in 3 cases (2 patients). None of the 8 newborns was a low-birth weight infant, and gestation lasted >or=37 weeks in all the patients, except for 1 case of a macrosomic fetus delivered at 33 weeks. There were no cases of abnormal placental implantation.
  
  
  CONCLUSIONS
  Despite the small sample size, uterine artery embolization appears to be viable in young women who still want to become pregnant. Larger series and studies comparing uterine fibroid embolization and myomectomy are needed.
authors.affiliation: Department of Interventional Radiology, Hospital de Madrid, Montepríncipe, Madrid, Spain. pintopabon@mi.madritel.es
authors.forename: Isabel
authors.initials: I
authors.lastname: Pinto Pabón
authors.forename: Javier Porras
authors.initials: JP
authors.lastname: Magret
authors.forename: Elena Ayerbe
authors.initials: EA
authors.lastname: Unzurrunzaga
authors.forename: Isidro Millán
authors.initials: IM
authors.lastname: García
authors.forename: Isidoro Bruna
authors.initials: IB
authors.lastname: Catalán
authors.forename: M Luisa
authors.initials: ML
authors.lastname: Cano Vieco
mesh_terms: D000022:Abortion, Spontaneous; D000180:Acrylic Resins / Q000009:adverse effects / Q000627:therapeutic use*; D000328:Adult; D005260:Female; D005298:Fertility; D005500:Follow-Up Studies; D005780:Gelatin / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D007889:Leiomyoma / Q000628:therapy*; D050498:Live Birth; D008875:Middle Aged; D011247:Pregnancy; D018873:Pregnancy Rate; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000628:therapy*
chemical_list: D000180:Acrylic Resins; C496735:trisacryl gelatin microspheres; D005780:Gelatin