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ECR 2018 / C-0997
Uterine myoma: results after endovascular uterine arteries embolisation in the treatment of symptomatic leiomyoma
Congress: ECR 2018
Poster No.: C-0997
Type: Scientific Exhibit
Keywords: Interventional vascular, Genital / Reproductive system female, Catheter arteriography, MR, Ultrasound, Embolisation, Pathology
Authors: D. Tazhibayev, B. Abishev, R. Rakhimzhanova; Astana/KZ
DOI:10.1594/ecr2018/C-0997

Results

The moderate reduction of  leiomyoma’s size was observed in one month after UAE. Decrease of fibroid size determined by US – 18,4%, by MRI – 17,3%, in 1 month. Following reduction of fibroid’s size was in 3 months by US – 40,7%, by MRI – 42,9%, in 6 months by US – 60,4%, by MRI – 61,8%, in 12 months by US – 72,5%, by MRI – 74,7%, in 24 months by US – 70,8%, by MRI – 72,2%. Doppler US-control showed blood flow decrease during first month after UAE, in 3 months blood flow data were restored in uterine arteries. We noticed also significant reduction or disappearance of clinical symptoms - pain, menorrhagia, pressure symptoms. The partial vascularization of leiomyoma detected in 24 moths after UAE only in one case. It was confirmed by MRI with contrast enhancement and by selective angiography of uterine arteries. Ovarian arteries wern’t involved in this case. It was a reason for reembolization of uterine arteries.  

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