Radiological treatment of symptomatic uterine fibroids.
Uterine artery embolization (UAE) is a relatively new alternative treatment for symptomatic fibroids. Recent Level 1 evidence from two major randomized controlled trials has established UAE as a safe and effective alternative to hysterectomy. Technical aspects, choice of embolic agent, safety, contra-indications and complications of the procedure will be reviewed. The available data on the effects on ovarian function, fertility and pregnancy outcomes following UAE will be presented.
Bratby
M J
MJ
Department of Radiology, St George's Hospital, Blackshaw Road, Tooting, London SW17 OQT, UK.
Belli
A-M
AM
D000698:Analgesia / Q000379:methods; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*