Uterine artery embolization

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Definition

By Mayo Clinic staff

Uterine artery embolization is a minimally invasive treatment for uterine fibroids, noncancerous growths in the uterus. In uterine artery embolization — also referred to as uterine fibroid embolization — a doctor uses a slender, flexible tube (catheter) to inject small particles into the uterine arteries, which supply blood to your fibroids and uterus. The goal is to block tiny vessels that lead to your fibroids, starve the fibroids and cause them to die.

Interventional radiologists usually perform uterine artery embolization. This type of doctor uses imaging techniques to guide procedures that would be impossible with conventional surgery. Some specialists in obstetrics and gynecology also have training in uterine artery embolization.

References
  1. The American College of Obstetrics and Gynecologists. Alternatives to hysterectomy in the management of leiomyomas. Obstetrics & Gynecology. 2008;112:387.
  2. Haney AF. Leiomyomata. In: Gibb RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2008:916.
  3. Kim D, et al. Uterine leiomyoma (fibroid) embolization. http://www.uptodate.com/home/index.html. Accessed Feb. 16, 2011.
  4. Kim MD, et al. Long-term results of symptomatic fibroids treated with uterine artery embolization: In conjunction with MR evaluation. European Journal of Radiology. 2010;73:339.
  5. Marshburn PB, et al. Uterine artery embolization as a treatment option for uterine myomas. Obstetrics and Gynecology Clinics of North America. 2006;33:125.
  6. Walker WJ, et al. Long-term follow up of uterine artery embolization - an effective alternative in the treatment of fibroids. BJOG. 2006;113:464.
  7. Narayan A, et al. Uterine artery embolization versus abdominal myomectomy: A long-term clinical outcome comparison. Journal of Vascular and Interventional Radiology. 2010;21:1011.
  8. The Practice Committee of the American Society for Reproductive Medicine. Myomas and reproductive function. Fertility and Sterility. 2008;90(suppl):S125.
  9. Van der Kooij SM, et al. Uterine artery embolization vs. hysterectomy in the treatment of symptomatic uterine fibroids: 5-year outcome from the randomized EMMY trial. American Journal of Obstetrics and Gynecology. 2010;203:105.e1.
  10. Pron G, et al. Pregnancy after uterine artery embolization for leiomyomata: The Ontario multicenter trial. Obstetrics & Gynecology. 2005;105:67.
MY00502 March 31, 2011

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