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Contrast‐enhanced sonography during uterine artery embolization for the treatment of leiomyomas
Author(s) -
Marret H.,
Tranquart F.,
Sauget S.,
Alonso A. M.,
Cottier J.P.,
Herbreteau D.
Publication year - 2004
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.944
Subject(s) - medicine , vascularity , uterine artery embolization , radiology , embolization , ultrasound , contrast enhanced ultrasound , leiomyoma , interventional radiology , uterine artery , contrast (vision) , surgery , pregnancy , artificial intelligence , computer science , gestation , genetics , biology
Uterine artery embolization (UAE) is a successful and safe treatment for symptomatic leiomyomas. However, rare complications such as premature menopause and uterine necrosis can arise because of embolization of non‐target tissues. We studied the feasibility of using contrast‐enhanced sonography with intravenous SonoVue just before, during and after complete occlusion of both uterine arteries. In a patient with multiple, large, symptomatic leiomyomas, contrast‐enhanced imaging established that the UAE was technically successful and that myometrial vascularity was not reduced. Our case suggests that ultrasound contrast agents may have a role in monitoring UAE and thus may help prevent ischemic complications. Further studies are required to confirm this. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.