Aims and objectives
Uterine artery embolization (UAE) is widely used for symptomatic uterine fibroids treatment [1,2].
Final result of UAE is complete or partial occlusion of uterine arteries.
Anyway there is no single technical protocol for UAE.
Different types of surgical approaches are used: transfemoral unilateral,
Also there is large variety of instruments and embolic materials for UAE.
At last there is no one standard protocol of acquisition and fluoroscopy for...
Methods and materials
This is a prospective study.
Main inclusion criteria were: symptomatic fibroids,
absence of any gynecologic surgery (including UAE) in anamnesis.
86 patients with uterine fibroids were included and randomized into two groups.
Group1 included 43 patients,
who underwent UAE with low-dose radiation protocol.
Group 2 included 42 patients (1 of 43 excluded during the study for co-morbidity) with standard radiation protocol.
Mean body mass index (BMI) in group 1 was 26,3,
and in group 2 mean BMI...
Mean dose in group 1 was 676,5+103,7 mGym 2 ranging from 421,1 to 840,6 mGym 2 .
In group 2 mean dose reached 2938,7+719,4 mGym 2 with range 1853,6-4875,7 mGym 2 .
The difference between two groups was considered to be statistically significant (P<0,0001). Complete fibroid necrosis was achieved in 41 case of 43 (95,3%) in group 1,
and in 41 case of 42 (97,6%) in group 2.
There was no statistically significant difference between two groups (p=0,576). There were no major complications in both...
Low-dose protocol with native non-subtraction acquisition mode allows to reduce radiation dose in UAE significantly.
It could be recommended for all UAEs.
MD National Medical Research Center for Obstetrics,
Gynecology and Perinatology n.a.
Kulakov,Department of Radiology,
Russian Federation. 117997 Academician Oparin st,
Russian Federation Phone: + 7-926-3990069 e-mail: firstname.lastname@example.org
The current place of medical therapy in uterine fibroid management.
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Uterine artery embolization using a transradial approach:...