Document Detail


Repeat uterine artery embolization following poor results.
MedLine Citation:
PMID:  19177259     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It was the objective of this study to assess the efficacy of repeat uterine artery embolization following lack of symptom relief from initial procedure. We performed a retrospective chart review of patients undergoing embolization for symptomatic uterine myomata between 1994 and 2007. Success was defined based upon responses to symptom-relief questionnaires. Patients who reported no relief or worsening of symptoms were offered repeat embolization as well as surgical intervention. Patients who elected to undergo repeat embolization were evaluated for success following the procedure. During the study period, 1058 patients underwent initial bilateral uterine artery embolization. Forty-two (3.97%) patients reported unsuccessful symptom relief. Thirty-nine patients who reported poor results underwent a second bilateral embolization. Thirty-four of these patients completed symptom-assessment questionnaires; thirty-two patients (94.1%) reported symptom relief lasting at least six months post-procedure. The vast majority of our patients who underwent a second embolization after initial poor results had successful symptom relief. Patients should be offered a second uterine artery embolization after a poor outcome.
Authors:
Bruce McLucas; Richard A Reed
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy     Volume:  18     ISSN:  1365-2931     ISO Abbreviation:  Minim Invasive Ther Allied Technol     Publication Date:  2009  
Date Detail:
Created Date:  2010-03-25     Completed Date:  2010-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612996     Medline TA:  Minim Invasive Ther Allied Technol     Country:  England    
Other Details:
Languages:  eng     Pagination:  82-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA. mclucas@ucla.edu
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MeSH Terms
Descriptor/Qualifier:
Female
Follow-Up Studies
Humans
Leiomyoma / blood supply,  therapy*
Questionnaires
Retrospective Studies
Treatment Failure
Treatment Outcome
Uterine Artery Embolization / methods*
Uterine Neoplasms / blood supply,  therapy*

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


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