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Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas

Objective. To investigate the indication and limitations of uterine artery embolization (UAE), we retrospectively analyzed the case of patients with uterine leiomyomas who had undergone UAE. Methods. During the past 7 years, 25 patients with uterine leiomyomas had undergone UAE in our hospital. UAE...

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Autores principales: Sasa, Hidenori, Kaji, Tatsumi, Furuya, Kenichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205683/
https://www.ncbi.nlm.nih.gov/pubmed/22135681
http://dx.doi.org/10.1155/2012/920831
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author Sasa, Hidenori
Kaji, Tatsumi
Furuya, Kenichi
author_facet Sasa, Hidenori
Kaji, Tatsumi
Furuya, Kenichi
author_sort Sasa, Hidenori
collection PubMed
description Objective. To investigate the indication and limitations of uterine artery embolization (UAE), we retrospectively analyzed the case of patients with uterine leiomyomas who had undergone UAE. Methods. During the past 7 years, 25 patients with uterine leiomyomas had undergone UAE in our hospital. UAE was indicated in patients with menstrual disturbances such as hypermenorrhea or dysmenorrhea. The outcomes of this procedure for uterine leiomyomas were analyzed. Results. Improvement in the menstrual symptoms and/or reduction in the leiomyoma size after UAE were observed in 24 patients (96.0%). There was mean 67.9% reduction in the volume of leiomyomas at six months after UAE (P < 0.05). However, the symptoms recurred after UAE in 6 patients (24.0%), with multiple or intramural leiomyomas larger than 7 cm, which necessitated additional procedures. Conclusion. The indications and limitations of the UAE should be considered because of its noneffectiveness and/or recurrence in over 20% of patients with uterine leiomyomas.
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spelling pubmed-32056832011-12-01 Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas Sasa, Hidenori Kaji, Tatsumi Furuya, Kenichi Obstet Gynecol Int Clinical Study Objective. To investigate the indication and limitations of uterine artery embolization (UAE), we retrospectively analyzed the case of patients with uterine leiomyomas who had undergone UAE. Methods. During the past 7 years, 25 patients with uterine leiomyomas had undergone UAE in our hospital. UAE was indicated in patients with menstrual disturbances such as hypermenorrhea or dysmenorrhea. The outcomes of this procedure for uterine leiomyomas were analyzed. Results. Improvement in the menstrual symptoms and/or reduction in the leiomyoma size after UAE were observed in 24 patients (96.0%). There was mean 67.9% reduction in the volume of leiomyomas at six months after UAE (P < 0.05). However, the symptoms recurred after UAE in 6 patients (24.0%), with multiple or intramural leiomyomas larger than 7 cm, which necessitated additional procedures. Conclusion. The indications and limitations of the UAE should be considered because of its noneffectiveness and/or recurrence in over 20% of patients with uterine leiomyomas. Hindawi Publishing Corporation 2012 2011-10-26 /pmc/articles/PMC3205683/ /pubmed/22135681 http://dx.doi.org/10.1155/2012/920831 Text en Copyright © 2012 Hidenori Sasa et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Sasa, Hidenori
Kaji, Tatsumi
Furuya, Kenichi
Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_full Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_fullStr Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_full_unstemmed Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_short Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_sort indications and outcomes of uterine artery embolization in patients with uterine leiomyomas
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205683/
https://www.ncbi.nlm.nih.gov/pubmed/22135681
http://dx.doi.org/10.1155/2012/920831
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