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ECR 2018 / C-0039
UTERINE FIBROMA: the endovascular point of view
Congress: ECR 2018
Poster No.: C-0039
Type: Educational Exhibit
Keywords: Interventional vascular, Genital / Reproductive system female, Vascular, CT, CT-Angiography, MR, Embolisation, Arterial access, Puncture, Hyperplasia / Hypertrophy, Dysplasias, Education and training
Authors: A. Paladini1, D. Beomonte Zobel2, E. M. Amodeo1, G. E. Vallati1, G. Pizzi1; 1Rome/IT, 2Roma/IT
DOI:10.1594/ecr2018/C-0039

Findings and procedure details

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First of all, the interventional radiologist should performe selective arteriography of internal iliac artery bilaterally, through use of 5F catheters, in order to evaluate pelvis vascular anatomy.

Then he should proceed to superselective catheterization of uterine arteries bilaterally, using a coaxial microcatheter. After positioning the tip of the microcatheter in the distal part of uterine artery he should proceed to embolic material injection:

  • particles of polyvinyl alcohol (PVA)
  • calibrated microparticles of increasing size from 200 to 900 micron

The impact of uterine artery embolization (UAE) for the purpose of diminishing the effect of uterine fibroids on fertility is still unclear. 

 

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