Abstract
Objective: Evaluation of the studies for the use of uterine artery embolization in various conditions
in both obstetrics and gynecology. Design: Literature review. Results: Uterine artery embolization was successful in controlling postpartum hemorrhage in
94.9% of the cases. It was effective in controlling the bleeding in 96% of cases with
uterine arteriovenous malformations and in 100% of the cases with abdominal and cervical
pregnancies. Recently, it has been introduced as a line of treatment for uterine fibroids.
It controlled bleeding in 82–92% of cases, and lead to 20–64% reduction in size of
fibroids. Conclusions: Uterine artery embolization is of significant value in treating certain hemorrhagic
conditions in obstetrics and gynecology including postpartum hemorrhage, ectopic pregnancy,
and arteriovenous malformations. Its use in treatment of uterine fibroids is new and
needs more collaborative studies by gynecologists and intervention radiologists to
evaluate issues related to necrosis of the tumor, sepsis, and the long-term effect
on size and recurrence rate.
Keywords
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Article info
Publication history
Received in revised form:
March 30,
2001
Identification
Copyright
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
