Document Detail


Ovarian artery: angiographic appearance, embolization and relevance to uterine fibroid embolization.
MedLine Citation:
PMID:  14562969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe the angiographic appearance of the ovarian artery and its main variations that may be relevant to uterine fibroid embolization. METHODS: The flush aortograms of 294 women who had been treated by uterine artery embolization for fibroids were reviewed. Significant arterial supply to the fibroid, and the origin and diameter of identified ovarian arteries were recorded. In patients with additional embolization of the ovarian artery, the follow-up evaluation also included hormonal levels and Doppler imaging of the ovaries. RESULTS: A total of 75 ovarian arteries were identified in 59 women (bilaterally in 16 women and unilaterally in 43 women). All ovarian arteries originated from the aorta below the level of the renal arteries with a characteristic tortuous course. Fifteen women had at least one enlarged ovarian artery supplying the fibroids. Fourteen women (14/15, 93%) presented at least one of the following factors: prior pelvic surgery, tubo-ovarian pathology or large fundal fibroids. CONCLUSION: We advocate the use of flush aortography in women with prior tubo-ovarian pathology or surgery or in cases of large fundal fibroids. In the case of an ovarian artery supply to the fibroids, superselective catheterization and embolization of the ovarian artery should be considered.
Authors:
J P Pelage; W J Walker; O Le Dref; R Rymer
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  26     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2003 May-Jun
Date Detail:
Created Date:  2003-10-17     Completed Date:  2003-12-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-33     Citation Subset:  IM    
Affiliation:
Department of Body and Vascular Imaging, Hôpital Lariboisière, AP-HP, 2 rue Ambroise Paré, F-75475 Paris cedex 10, France. jean-pierre.pelage@lrb.ap-hop-paris.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Biological Markers / blood
Catheterization, Peripheral
Echocardiography, Doppler, Color
Embolization, Therapeutic
Equipment Design
Estradiol / metabolism
Female
Follicle Stimulating Hormone / metabolism
Follow-Up Studies
Humans
Leiomyoma / diagnosis,  epidemiology,  therapy
Luteinizing Hormone / metabolism
Mesenteric Artery, Inferior / pathology,  radiography,  surgery
Middle Aged
Ovary / blood supply*,  radiography
Renal Artery / pathology,  radiography,  surgery
Risk Factors
Severity of Illness Index
Statistics as Topic
Time Factors
Treatment Outcome
Uterine Neoplasms / diagnosis,  epidemiology,  therapy
Women's Health
Chemical
Reg. No./Substance:
0/Biological Markers; 50-28-2/Estradiol; 9002-67-9/Luteinizing Hormone; 9002-68-0/Follicle Stimulating Hormone

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


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