Safety and Effectiveness of UFE in Fibroids Larger than 10 cm

V. Bérczi, Éva Valcseva, Dóra Kozics, Ildikó Kalina, Pál Kaposi, Péter Sziller, S. Várbíró, Erzsébet Mária Botos

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction: Early literature suggested that the size of the uterus, the size of the dominant fibroid, and the amount of applied embolization particles would be the risk factors for major postprocedural complications, but recent publications have confuted these early results. The purpose of our study was to evaluate whether the size of the dominant fibroid would influence the complication rate and effectiveness in a large single-center cohort. Patients and Methods: From 28 April 2008 until 31 December 2012, 303 patients had uterine artery embolization (UAE). 262 patients had small [largest diameter 10 cm (Group 2)] fibroid. UAE was performed from unilateral femoral access using 500–710 and 355–500 µm polyvinyl alcohol particles. Periprocedural and postprocedural complications and numerical analog quality-of-life scores (0—unbearable symptoms; 100—perfect quality of life) were listed and statistically analyzed. Results: During the mean follow-up time [7.79 ± 5.16 (SD) month], data on 275 patients (275/303 = 90.8 %) were available. Quality-of-life score was 33.3 ± 23.5 and 33.5 ± 24.1 before, whereas 85.6 ± 16.0 and 81.5 ± 23.5 after UAE in Group 1 and Group 2, respectively, (Mann–Whitney U test one-sided, p = 0.365). There were 4 myoma expulsions, 1 acute myomectomy, and 2 acute hysterectomies reported from Group 1, meanwhile 1 myoma expulsion, 1 acute myomectomy, and 2 acute hysterectomies were documented from Group 2 (NS differences). Conclusion: There was no significant difference in the effectiveness and in the number of minor and major complications between fibroids with 10 cm.

Original languageEnglish
Pages (from-to)1152-1156
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume38
Issue number5
DOIs
Publication statusPublished - Jan 10 2015

Fingerprint

Leiomyoma
Uterine Artery Embolization
Uterine Myomectomy
Safety
Myoma
Quality of Life
Hysterectomy
Polyvinyl Alcohol
Thigh
Uterus

Keywords

  • Acute hysterectomy and myomectomy
  • Dominant fibroid
  • Major complications
  • Uterine artery embolization (UAE)

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Bérczi, V., Valcseva, É., Kozics, D., Kalina, I., Kaposi, P., Sziller, P., ... Botos, E. M. (2015). Safety and Effectiveness of UFE in Fibroids Larger than 10 cm. CardioVascular and Interventional Radiology, 38(5), 1152-1156. https://doi.org/10.1007/s00270-014-1045-4

Safety and Effectiveness of UFE in Fibroids Larger than 10 cm. / Bérczi, V.; Valcseva, Éva; Kozics, Dóra; Kalina, Ildikó; Kaposi, Pál; Sziller, Péter; Várbíró, S.; Botos, Erzsébet Mária.

In: CardioVascular and Interventional Radiology, Vol. 38, No. 5, 10.01.2015, p. 1152-1156.

Research output: Contribution to journalArticle

Bérczi, V, Valcseva, É, Kozics, D, Kalina, I, Kaposi, P, Sziller, P, Várbíró, S & Botos, EM 2015, 'Safety and Effectiveness of UFE in Fibroids Larger than 10 cm', CardioVascular and Interventional Radiology, vol. 38, no. 5, pp. 1152-1156. https://doi.org/10.1007/s00270-014-1045-4
Bérczi, V. ; Valcseva, Éva ; Kozics, Dóra ; Kalina, Ildikó ; Kaposi, Pál ; Sziller, Péter ; Várbíró, S. ; Botos, Erzsébet Mária. / Safety and Effectiveness of UFE in Fibroids Larger than 10 cm. In: CardioVascular and Interventional Radiology. 2015 ; Vol. 38, No. 5. pp. 1152-1156.
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