Uterine Artery Embolization for Pedunculated Subserosal Leiomyomas: Evidence of Safety and Efficacy
- Authors
- Kim, Yong Seek; Han, Kichang; Kim, Man-Deuk; Kim, Gyoung Min; Kwon, Joon Ho; Lee, Junhyung; Choi, Woosun; Won, Jong Yun; Lee, Do Yun
- Issue Date
- Apr-2018
- Publisher
- ELSEVIER SCIENCE INC
- Citation
- JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, v.29, no.4, pp 497 - 501
- Pages
- 5
- Journal Title
- JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
- Volume
- 29
- Number
- 4
- Start Page
- 497
- End Page
- 501
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/71767
- DOI
- 10.1016/j.jvir.2017.11.022
- ISSN
- 1051-0443
1535-7732
- Abstract
- Purpose: To evaluate safety and efficacy of uterine artery embolization (UAE) for pedunculated subserosal (PS) leiomyomas. Materials and Methods: Of 1,069 patients who underwent UAE for symptomatic leiomyomas or adenomyosis from 2007 to 2016, 55 patients (mean age 40.3 y +/- 4.8) with 66 PS leiomyomas (mean diameter 6.61 cm +/- 2.04) were enrolled. Each PS leiomyoma was categorized into 1 of 2 groups: high-risk PS leiomyoma (stalk diameter < 25% of diameter of leiomyoma) and low-risk PS leiomyoma (stalk diameter 25%-50% of diameter of leiomyoma). MR imaging was performed 3 months after UAE. Rates of infarction and volume reduction were compared between PS leiomyomas and non-PS dominant leiomyomas and between high-risk and low-risk PS leiomyomas. Complications related to PS leiomyomas were assessed. Results: At a median follow-up of 96 days (range, 36-348 d) after UAE, none of the patients (0%) had complications related to PS leiomyomas, even among high-risk cases. Mean volume reductions of 38.2% and 38.4% were achieved for PS leiomyomas and non-PS dominant leiomyomas, respectively (P = .953). There were 3 (5.5%) minor adverse events, but none were related to PS leiomyoma. There was no significant difference in volume reduction and infarction rates between low-risk and high-risk PS leiomyomas. Conclusions: UAE is safe and effective in patients with PS leiomyomas even for high-risk cases (stalk diameter < 25% of diameter of leiomyoma). PS leiomyoma should not be considered a contraindication for UAE.
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