Initial results from uterine fibroid embolization for symptomatic leiomyomata

James B. Spies, Anthony R. Scialli, Reena C. Jha, Izumi Imaoka, Susan M. Ascher, Vivian M. Fraga, Klemens H. Barth

Research output: Contribution to journalArticle

Abstract

PURPOSE: To evaluate the safety and short-term efficacy of uterine fibroid embolization (UFE) in patients with symptomatic uterine fibroids. MATERIALS AND METHODS: Bilateral UFE was performed in 61 patients with symptomatic uterine leiomyomata during a 16-month period. Imaging was performed before the procedure and at 3 months and 1 year after the procedure. Questionnaires were obtained at regular intervals after the procedure to assess patient outcome. RESULTS: All procedures but one were technically successful. Mean clinical follow-up was 8.7 months. Minor complications occurred in five patients during the follow-up period. All were treated without permanent sequelae. Menstrual bleeding was improved in 89%, with 81% of patients moderately to markedly improved. Pelvic pain and pressure was improved in 96% of patients, with moderate to marked improvement in 79%. At initial imaging follow-up (mean, 4.4 months postprocedure), median uterine volume decreased 34% (P = .0001) and the median dominant fibroid volume decreased 50% (P = .0001). Imaging at 1 year (mean, 12.3 months) after the procedure showed continued reduction with a median uterine volume reduction of 48% (P = .0002) and median dominant fibroid volume decrease of 78% (P = .0002). CONCLUSION: In the authors' initial clinical experience, UFE appears effective in controlling symptoms and substantially reducing fibroid volume with few complications.

Original languageEnglish (US)
Pages (from-to)1149-1157
Number of pages9
JournalJournal of Vascular and Interventional Radiology
Volume10
Issue number9
DOIs
StatePublished - Oct 1999

Keywords

  • Fibroid
  • Uterine arteries, therapeutic blockade
  • Uterus, neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Spies, J. B., Scialli, A. R., Jha, R. C., Imaoka, I., Ascher, S. M., Fraga, V. M., & Barth, K. H. (1999). Initial results from uterine fibroid embolization for symptomatic leiomyomata. Journal of Vascular and Interventional Radiology, 10(9), 1149-1157. https://doi.org/10.1016/S1051-0443(99)70212-5