UAE

Question 1

UAE

Answer 1

Contraindications:
infections
concern for malignancy
Asymptomatic 
preganancy 
pt would refuse a hysterectomy if needed
Active infection or vasculitis
 History of pelvic irradiation
 Life-threatening contrast allergy
 Poorly controlled diabetes
 Renal failure or insufficiency
 Arteriovenous shunting

relative- bulk symptoms from fibroid

Outcome of embolization of small non-stalked fibroids is best

Question 2

Complications from UAE

Answer 2

Need for gynecologic
intervention 2.5%
› prolapsing fibroids
› persistent post procedural
pain
› heavy bleeding

 Infection (hyst-0.6%)
› systemic infection
› endometritis
› pyometritis

 Ischemic necrosis with
prolonged purulent
vaginal discharge

 Consists of ischemic pain, nausea, vomiting,
malaise, uterine tenderness low-grade temp
◦ 15%-20% occurrence
◦ May require readmission for management in 15%
cases
 Usually within first 1-7 days
 Elevated wbc’s >10,000 and left shift
 MRI helpful to distinguish between abscess and
artifact

Premature Ovarian failure-less than 1 %

Question 3

UFE outcomes

Answer 3

Overall symptom improvement
› 81-95%
 Improvement in menstrual bleeding
› 87%
 Bulk symptoms and pelvic pressure
improvement
› 93%

Question 4

Myomectomy recurrance rate

Answer 4

• Recurrence rate of 10% at 5 years

 Recurrence risk of 27% at 10 years