Does uterine fibroid size or patient weight affect outcome of uterine artery embolization?

Review evidence summary of Uterine Fibroids in JBI.

Follow up studies addressing risk factors, such as fibroid size, for treatment failure or complications.  Pertinent studies include:

Parthipun AA, et al.   Does size really matter?  Analysis of the effect of large fibroids and uterine volumes on complication rates of uterine artery embolisation. Cardiovasc Intervent Radiol. 2010Oct;33(5):955-9. Epub 2010 May 5. PubMed PMID: 20442999.

Smeets AJ, Nijenhuis RJ, van Rooij WJ, Weimar EA, Boekkooi PF, Lampmann LE,
Vervest HA, Lohle PN. Uterine artery embolization in patients with a large
fibroid burden: long-term clinical and MR follow-up. Cardiovasc Intervent Radiol.
2010 Oct;33(5):943-8. Epub 2010 Jan 12. PubMed PMID: 20066419

Hirst A, et al.  A multi-centre retrospective cohort study comparing the
efficacy, safety and cost-effectiveness of hysterectomy and uterine artery
embolisation for the treatment of symptomatic uterine fibroids. The HOPEFUL
study. Health Technol Assess. 2008 Mar;12(5):1-248, iii. PubMed PMID: 18331704.

Arleo EK, Masheb RM, Pollak J, McCarthy S, Tal MG. Fibroid volume, location
and symptoms in women undergoing uterine artery embolization: does size or
position matter? Int J Fertil Womens Med. 2007 Mar-Jun;52(2-3):111-20. PubMed
PMID: 18320870.
In print at the WHSC Library

Firouznia K, Ghanaati H, Sanaati M, Jalali AH, Shakiba M. Uterine artery
embolization in 101 cases of uterine fibroids: do size, location, and number of
fibroids affect therapeutic success and complications? Cardiovasc Intervent
Radiol. 2008 May-Jun;31(3):521-6. Epub 2008 Jan 25. PubMed PMID: 18219521.

Siskin GP, et al.  UAE versus Myomectomy Study Group. A
prospective multicenter comparative study between myomectomy and uterine artery
embolization with polyvinyl alcohol microspheres: long-term clinical outcomes in
patients with symptomatic uterine fibroids. J Vasc Interv Radiol. 2006
Aug;17(8):1287-95. PubMed PMID: 16923975.

Reviewed 4/18/14  AA

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