Is an intrauterine device a contraindication for uterine artery embolization? A study of 20 patients.
The presence of an intrauterine device (IUD) has been traditionally considered a risk factor for postprocedural infection in patients undergoing uterine artery embolization (UAE). The authors retrospectively evaluated the occurrence of infectious complications following embolization in 20 women with IUDs. After a mean follow-up of 20.5 months, none of the patients developed an infectious complication. One patient required hysterectomy following embolization for persistent pain. Pathologic evaluation of the hysterectomy specimen demonstrated ischemia without evidence of inflammation. This experience suggests that the presence of an IUD might not be considered a contraindication for UAE.
Smeets
Albert Joseph
AJ
Department of Radiology, St Elisabeth Ziekenhuis, Hilvarenbeekseweg 60, Tilbury 5022GC, the Netherlands. a.smeets@wxs.nl
Nijenhuis
Robbert J
RJ
Boekkooi
Peter F
PF
Vervest
Harry A M
HA
van Rooij
Willem Jan
WJ
Lohle
Paul N M
PN
D000328:Adult; D000075202:Contraindications; D004715:Endometriosis / Q000628:therapy*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007434:Intrauterine Devices / Q000009:adverse effects*; D007889:Leiomyoma / Q000628:therapy*; D008875:Middle Aged; D034161:Pelvic Infection / Q000209:etiology; D017699:Pelvic Pain / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D055357:Uterine Artery Embolization; D014594:Uterine Neoplasms / Q000628:therapy*