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Uterine artery embolization for symptomatic fibroids in postmenopausal women

DC FieldValueLanguage
dc.contributor.author김경민-
dc.contributor.author김만득-
dc.contributor.author박성일-
dc.contributor.author원종윤-
dc.contributor.author이도연-
dc.contributor.author이신재-
dc.date.accessioned2017-02-24T03:17:51Z-
dc.date.available2017-02-24T03:17:51Z-
dc.date.issued2016-
dc.identifier.issn0899-7071-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/146304-
dc.description.abstractPURPOSE: The aim of the current study was to evaluate the efficacy of uterine artery embolization (UAE) for symptomatic fibroids in postmenopausal women. MATERIALS AND METHODS: Among 900 cases who underwent UAE between 2007 and 2013, a total of 9 postmenopausal women with symptomatic fibroids (n=6) and fibroid with adenomyosis (n=3) were included in this retrospective study. Ages ranged from 49 to 55years (median of 52). The embolic agent was nonspherical polyvinyl alcohol particles. We evaluated 18 uterine arteries in nine patients and compared the size of the uterine artery relative to inferior mesenteric artery (IMA) in preprocedural magnetic resonance (MR) angiography. Magnetic resonance imaging (MRI) was performed before and 3months after UAE. Predominant fibroid and uterine volumes were calculated from MR images. RESULTS: Urinary frequency was the most common symptom, observed in seven patients (77.8%). Of two patients (22.2%) with vaginal bleeding from submucosal myomas, one patient had been on hormone replacement therapy (HRT). One patient underwent UAE due to growing leiomyoma after HRT. All of the 18 uterine arteries were bigger than the corresponding IMAs in MR angiography. Contrast-enhanced MRI revealed complete necrosis of the predominant fibroid in all patients. Eight (88.9%) of the nine participants demonstrated resolution of symptoms. The mean predominant fibroid and uterine volume reduction rates were 39.7% and 36.9%, respectively. CONCLUSIONS: In postmenopausal women, UAE was effective to treat symptomatic fibroids, and it could be considered as an alternative treatment to hysterectomy.-
dc.description.statementOfResponsibilityrestriction-
dc.format.extent106~109-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfCLINICAL IMAGING-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLeiomyoma/pathology-
dc.subject.MESHLeiomyoma/therapy*-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostmenopause*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUterine Artery Embolization/methods*-
dc.subject.MESHUterine Neoplasms/pathology-
dc.subject.MESHUterine Neoplasms/therapy*-
dc.titleUterine artery embolization for symptomatic fibroids in postmenopausal women-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Radiology-
dc.contributor.googleauthorShin Jae Lee-
dc.contributor.googleauthorMan Deuk Kim-
dc.contributor.googleauthorGyoung Min Kim-
dc.contributor.googleauthorJong Yoon Won-
dc.contributor.googleauthorSung Il Park-
dc.contributor.googleauthorDo Yun Lee-
dc.identifier.doi10.1016/j.clinimag.2015.08.010-
dc.contributor.localIdA00296-
dc.contributor.localIdA00420-
dc.contributor.localIdA01510-
dc.contributor.localIdA02443-
dc.contributor.localIdA02718-
dc.contributor.localIdA02944-
dc.relation.journalcodeJ00577-
dc.identifier.eissn1873-4499-
dc.identifier.pmid26372352-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0899707115002272-
dc.subject.keywordMagnetic resonance imaging-
dc.subject.keywordMenopause-
dc.subject.keywordUterine artery embolization-
dc.subject.keywordUterine fibroid-
dc.contributor.alternativeNameKim, Gyoung Min-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.alternativeNamePark, Sung Il-
dc.contributor.alternativeNameWon, Jong Yun-
dc.contributor.alternativeNameLee, Do Yun-
dc.contributor.alternativeNameLee, Shin Jae-
dc.contributor.affiliatedAuthorKim, Gyoung Min-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.contributor.affiliatedAuthorPark, Sung Il-
dc.contributor.affiliatedAuthorWon, Jong Yun-
dc.contributor.affiliatedAuthorLee, Do Yun-
dc.contributor.affiliatedAuthorLee, Shin Jae-
dc.citation.volume40-
dc.citation.number1-
dc.citation.startPage106-
dc.citation.endPage109-
dc.identifier.bibliographicCitationCLINICAL IMAGING, Vol.40(1) : 106-109, 2016-
dc.date.modified2017-02-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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