1) Understand the standard technique of uterine fibroid embolization. 2) Common pitfalls in the UFE procedure and how to avoid them. 3) The peri-procedural care that will limit complications. 4) Complications associated with uterine embolization and how they are managed.
Uterine embolization is now the most common minimally-invasive treatment for uterine fibroids. The procedure has been shown in numerous studies to control symptoms, with outcomes similar to those of surgery. It has shorter recovery than surgery and a low rate of complications.
The best outcomes are achieved when the technique used is optimal, the embolic material used is appropriate and when there is proper peri-procedural care for the patient. Complications are rare, with the most common serious complication being fibroid passage, occurring in 2 to 5% of patients. Fibroid passage typically occurs several weeks or months after embolization. In the peri-procedural period, the most serious potential complication is pulmonary embolus. Serious infections may also occur, but are very rare.
The best means of limiting the frequency of complications is proper pre-procedure evaluation and appropriate peri-procedure management.
Spies, J,
Technical Aspects and Complications of Uterine Artery Embolization. Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010 ,Chicago IL.
http://archive.rsna.org/2010/9000545.html
