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Uterine Artery Embolization for Pedunculated Subserosal Leiomyomas: Evidence of Safety and Efficacy

 Yong Seek Kim  ;  Kichang Han  ;  Man-Deuk Kim  ;  Gyoung Min Kim  ;  Joon Ho Kwon  ;  Junhyung Lee  ;  Woosun Choi  ;  Jong Yun Won  ;  Do Yun Lee 
 Journal of Vascular and Interventional Radiology, Vol.29(4) : 497-501, 2018 
Journal Title
 Journal of Vascular and Interventional Radiology 
Issue Date
PURPOSE: To evaluate safety and efficacy of uterine artery embolization (UAE) for pedunculated subserosal (PS) leiomyomas. MATERIALS AND METHODS: Of 1,069 patients who underwent UAE for symptomatic leiomyomas or adenomyosis from 2007 to 2016, 55 patients (mean age 40.3 y +/- 4.8) with 66 PS leiomyomas (mean diameter 6.61 cm +/- 2.04) were enrolled. Each PS leiomyoma was categorized into 1 of 2 groups: high-risk PS leiomyoma (stalk diameter < 25% of diameter of leiomyoma) and low-risk PS leiomyoma (stalk diameter 25%-50% of diameter of leiomyoma). MR imaging was performed 3 months after UAE. Rates of infarction and volume reduction were compared between PS leiomyomas and non-PS dominant leiomyomas and between high-risk and low-risk PS leiomyomas. Complications related to PS leiomyomas were assessed. RESULTS: At a median follow-up of 96 days (range, 36-348 d) after UAE, none of the patients (0%) had complications related to PS leiomyomas, even among high-risk cases. Mean volume reductions of 38.2% and 38.4% were achieved for PS leiomyomas and non-PS dominant leiomyomas, respectively (P = .953). There were 3 (5.5%) minor adverse events, but none were related to PS leiomyoma. There was no significant difference in volume reduction and infarction rates between low-risk and high-risk PS leiomyomas. CONCLUSIONS: UAE is safe and effective in patients with PS leiomyomas even for high-risk cases (stalk diameter < 25% of diameter of leiomyoma). PS leiomyoma should not be considered a contraindication for UAE.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
권준호(Kwon, Joon Ho) ORCID logo https://orcid.org/0000-0002-6178-7252
김경민(Kim, Gyoung Min) ORCID logo https://orcid.org/0000-0001-6768-4396
김만득(Kim, Man Deuk) ORCID logo https://orcid.org/0000-0002-3575-5847
원종윤(Won, Jong Yun)
이도연(Lee, Do Yun)
이준형(Lee, Junhyung) ORCID logo https://orcid.org/0000-0002-1942-5485
한기창(Han, Ki Chang) ORCID logo https://orcid.org/0000-0002-9701-9757
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