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Fibroid embolisation: a technique not without significant complications
Author(s) -
Vashisht A.,
Studd J. W. W.,
Carey A. H.,
McCall J.,
Burn P. R.,
Healy J. C.,
Smith J. R.
Publication year - 2000
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2000.tb11119.x
Subject(s) - medicine , uterine fibroids , magnetic resonance imaging , surgery , uterine artery , radiology , pregnancy , gestation , genetics , biology
Uterine artery embolisation is a new minimally invasive technique used for the treatment of fibroids. Twenty‐one women underwent bilateral uterine artery embolisation at our unit, and we assessed the efficacy, morbidity and patient satisfaction with the procedure. Mixed outcomes were found. Reduction in fibroid volume measured by magnetic resonance imaging was impressive, and the majority of women felt their symptoms had improved. One woman achieved a full term pregnancy following the procedure. However, the procedure involved a significant inpatient stay, analgesia requirement, and a slower recovery time than anticipated. One woman died following overwhelming sepsis occurring 10 days after the procedure. Further studies are required to assess the role this technique may play in the management of uterine fibroids.