Document Detail


Magnetic resonance imaging (MRI) analysis of fibroid location in women achieving pregnancy after uterine artery embolization.
MedLine Citation:
PMID:  17671810     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to evaluate the fibroid morphology in a cohort of women achieving pregnancy following treatment with uterine artery embolization (UAE) for symptomatic uterine fibroids. A retrospective review of magnetic resonance imaging (MRI) of the uterus was performed to assess pre-embolization fibroid morphology. Data were collected on fibroid size, type, and number and included analysis of follow-up imaging to assess response. There have been 67 pregnancies in 51 women, with 40 live births. Intramural fibroids were seen in 62.7% of the women (32/48). Of these the fibroids were multiple in 16. A further 12 women had submucosal fibroids, with equal numbers of types 1 and 2. Two of these women had coexistent intramural fibroids. In six women the fibroids could not be individually delineated and formed a complex mass. All subtypes of fibroid were represented in those subgroups of women achieving a live birth versus those who did not. These results demonstrate that the location of uterine fibroids did not adversely affect subsequent pregnancy in the patient population investigated. Although this is only a small qualitative study, it does suggest that all types of fibroids treated with UAE have the potential for future fertility.
Authors:
Woodruff J Walker; Mark John Bratby
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 Sep-Oct
Date Detail:
Created Date:  2007-09-27     Completed Date:  2008-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  876-81     Citation Subset:  IM    
Affiliation:
Department of Radiology, Royal Surrey County Hospital, Egerton Road, Guildford, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Embolization, Therapeutic*
Female
Fertility*
Follow-Up Studies
Humans
Infertility, Female / etiology*,  pathology,  physiopathology
Leiomyomatosis / blood supply,  complications,  pathology*,  physiopathology,  therapy
Magnetic Resonance Imaging*
Middle Aged
Pregnancy
Pregnancy Complications / etiology*,  pathology
Pregnancy Outcome
Retrospective Studies
Time Factors
Treatment Outcome
Uterine Neoplasms / blood supply,  complications,  pathology*,  physiopathology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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