Limited uterine artery embolization with tris-acryl gelatin microspheres for uterine fibroids.

Jean-Pierre Pelage 1, * Olivier Le Dref Jean-Paul Beregi 2 Michel Nonent 3, 4 Yann Robert Michel Cosson 5 Dennis Jacob Jean-Bernard Truc 6 Alexandre Laurent Roland Rymer
* Auteur correspondant
1 DBVI - Department of Body and Vascular Imaging
2 Therapies Interventionnelles Assistees Par l'Image et la Simulation
3 DR - Brest - Département de radiologie [Brest]
4 GETBO - Groupe d'Etude de la Thrombose de Bretagne Occidentale
5 Service de gynécologie obstétrique
6 Service de Gynècologie-Obstetrique
Abstract : PURPOSE: To evaluate the midterm results of limited embolization of the uterine arteries in the management of symptomatic uterine fibroids and to evaluate the efficacy and safety of limited uterine artery embolization (UAE) with use of calibrated tris-acryl gelatin microspheres in the management of symptomatic uterine fibroids. MATERIALS AND METHODS: Twenty women (mean age, 43 years) with symptomatic uterine fibroids underwent bilateral embolization of the uterine arteries with use of calibrated microspheres. Devascularization of the fibroids was achieved and the main uterine artery was left patent in all women. Embolization was offered as an alternative to surgery in all women who had been treated unsuccessfully with medical therapy. RESULTS: All procedures were technically successful. Microspheres 700-900 micro m in diameter were used in 14 women (70%). After a mean follow-up duration of 30.2 months (range, 24-48 mo), all women reported improvement in their symptoms, with 85% reporting complete resolution of menorrhagia at the most recent follow-up. One woman with multiple fibroids required a second embolization procedure because of persisting symptoms at 6 months. She is currently symptom-free after 48 months. In two women with submucosal fibroids, expulsion of necrotic fibroids occurred 2 and 7 months after the procedure, respectively. All women resumed normal menstruation after the procedure. One woman had a successful full-term pregnancy after embolization. CONCLUSION: Early experience with UAE with use of calibrated tris-acryl gelatin microspheres indicates that it is safe and efficacious in controlling menorrhagia.
Type de document :
Article dans une revue
JVIR: Journal of Vascular and Interventional Radiology, Elsevier, 2003, 14 (1), pp.15-20
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http://hal.univ-brest.fr/hal-00722259
Contributeur : Ghislaine Calvez <>
Soumis le : mercredi 1 août 2012 - 10:09:34
Dernière modification le : mercredi 10 janvier 2018 - 14:42:02

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  • HAL Id : hal-00722259, version 1
  • PUBMED : 12525582

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UNIV-BREST | GETBO

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Jean-Pierre Pelage, Olivier Le Dref, Jean-Paul Beregi, Michel Nonent, Yann Robert, et al.. Limited uterine artery embolization with tris-acryl gelatin microspheres for uterine fibroids.. JVIR: Journal of Vascular and Interventional Radiology, Elsevier, 2003, 14 (1), pp.15-20. 〈hal-00722259〉

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