RSNA 2003 

Abstract Archives of the RSNA, 2003


G10-622

Mid-term Results of Uterine Artery Embolization for Symptomatic Adenomyosis

Scientific Papers

Presented on December 2, 2003
Presented as part of G10: Vascular Interventional (Uterine Artery Embolization)

Participants

Jean-Pierre Pelage MD, PRESENTER: Nothing to Disclose

Abstract: HTML Purpose: To evaluate mid-term results of uterine artery embolization in the management of menorrhagia due to adenomyosis. Methods and Materials: Eighteen women (mean age 44.4 years, range 36-52) with menorrhagia related to adenomyosis underwent bilateral uterine artery embolization. The diagnosis of diffuse adenomyosis was based on enlarged junctionnal zone and myometrial cysts with ultrasound or MRl with no evidence of associated fibroids. Focal adenomyosis was diagnosed if there was a circumscribed nodular lesion mimicking intramural fibroid. Uterine artery embolization was performed using PVA particles, trisacryl calibrated microspheres and/or gelatin sponge pledgets. Clinical evaluation was made at regular intervals to assess patient outcome. Follow-up ultrasound or MRI was performed 6 months after embolization to assess uterine volume reduction. Results: Fourteen women had diffuse adenomyosis and four women had focal adenomyosis. Bilateral uterine artery embolization was performed in all but one woman. At 6 months, 16/18 women (89%) reported significant improvement of their symptoms. Follow-up imaging at 6 months demonstrated a slight decrease in uterine volume in 17/18 women (94%). At a mean follow-up of 29 months (12-74 months), only 5/18 women (39%) were still significantly improved. Five women have been treated by hysterectomy for recurrence of symptoms. Conclusion: Bilateral uterine artery embolization provides initial symptomatic relief in patients with adenomyosis and menorrhagia. However, long-term evaluation suggest a higher rate of recurrence than with uterine artery embolization for fibroids. (J.P. is a consultant and received grants from Biosphere Medical, Boston Scientific, and Biocompatibles.) Questions about this event email: jean-pierre.pelage@apr.ap-hop-paris.fr

Cite This Abstract

Pelage MD, J, Mid-term Results of Uterine Artery Embolization for Symptomatic Adenomyosis.  Radiological Society of North America 2003 Scientific Assembly and Annual Meeting, November 30 - December 5, 2003 ,Chicago IL. http://archive.rsna.org/2003/3106049.html