"Uterine artery embolisation has been practised for more than 20 years for controlling post-partum haemorrhage."
"The technique was first reported as an effective intervention for fibroids in 1995 when Ravina et al noted that several women with symptomatic leiomyomata who underwent uterine artery embolisation as a pre-hysterectomy treatment had significant clinical improvement to an extent that hysterectomy was no longer required."
"post-partum haemorrhage"
"post-embolisation syndrome"
"For post-partum bleeding"
"uterine artery pseudoaneurysm(s)"
"In addition, many gynaecology societal guidelines do not recommend performing UAE on women who maintain a future desire for pregnancy. Exceptions to this may include women who have severe anaemia or symptoms associated with fibroids, have failed conservative measures and have contraindications to surgery or those who consent to UAE within an approved research protocol. However, recent studies have shown that fertility and miscarriage rates after uterine artery embolisation for fibroids are likely similar to the age-matched general population11."
"PVA (typically 300 - 500 or 500 to 700 µm)"
"sepsis is a rare but serious complication and can be difficult to differentiate from post embolisation syndrome."
"Outcomes "
"The technique was first reported as an effective intervention for fibroids in 1995 when Ravina et al noted that several women with symptomatic leiomyomata who underwent uterine artery embolisation as a pre-hysterectomy treatment had significant clinical improvement to an extent that hysterectomy was no longer required."
"uterine AVM: trauma, post curettage"
"PVA (typically 300 - 500 or 500 to 700 µm)"
"NICE (UK) uterine artery embolisation for fibroids 2010: UAE is efficacious for symptom relief in the short and medium term for a substantial proportion of patients 15"
"NICE (UK) uterine artery embolisation for fibroids 2010: UAE is efficacious for symptom relief in the short and medium term for a substantial proportion of patients 15"
"Roberts uterine catheter (RUC): commonly used selective catheter for pelvic angiography"
"Cobra glidecath: can also be used"
"Embosphere® microspheres"
"American College of Obstetrics and Gynaecology (ACOG) 2021 Practice Bulletin: UAE is recommended as an interventional procedure for the treatment of uterine leiomyomas in patients who desire uterine preservation and are counselled about the limited available data on reproductive outcomes 9"
"Peri-procedural care"
Expected headings
"History"
"Preprocedural evaluation"
"Catheter selection"
"Embolic agents"
"Femoral access"
"Brachial or radial access"
"Peri-procedural care"
"Outcomes "
"For post-partum bleeding"
"For fibroids"
"For adenomyosis"
"Recommendations"
"Patients with fibroids, and their related problems, probably present the largest group who is most able to benefit from uterine artery embolisation. Presently people with multiple and/or large symptomatic uterine fibroids traditionally undergo total abdominal, vaginal or laparoscopic-assisted hysterectomies around the world. The figure in the United States is about 60,000 hysterectomies per year. In less developed and more populous countries like India, the numbers may be even higher. There is an increasing need for minimally alternatives for uterine fibroids and dysfunctional bleeding."
"Intravenous fluids, analgesia, antiemetics and antibiotics need to be continued during the postprocedural period."
"Patients with fibroids, and their related problems, probably present the largest group who is most able to benefit from uterine artery embolisation. Presently people with multiple and/or large symptomatic uterine fibroids traditionally undergo total abdominal, vaginal or laparoscopic-assisted hysterectomies around the world. The figure in the United States is about 60,000 hysterectomies per year. In less developed and more populous countries like India, the numbers may be even higher. There is an increasing need for minimally alternatives for uterine fibroids and dysfunctional bleeding."