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Five-year clinical outcomes of uterine artery embolization for symptomatic leiomyomas: An analysis of risk factors for reintervention

DC FieldValueLanguage
dc.contributor.author권준호-
dc.contributor.author김경민-
dc.contributor.author김만득-
dc.contributor.author원종윤-
dc.contributor.author윤자경-
dc.contributor.author이도연-
dc.contributor.author한기창-
dc.date.accessioned2019-02-12T16:45:04Z-
dc.date.available2019-02-12T16:45:04Z-
dc.date.issued2018-
dc.identifier.issn0720-048X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/167125-
dc.description.abstractOBJECTIVES: The objective of this study is to investigate the five-year reintervention rate of uterine artery embolization (UAE) for symptomatic leiomyomas and to identify potential predictive factors of reintervention. METHODS: From March 2011 to February 2012, 92 consecutive women (mean age 41.9 years, range 28-55 years) underwent bilateral UAE. Contrast-enhanced magnetic resonance imaging (MRI) was performed at three-month follow-up. After annual follow-up, a survey on clinical outcome and reintervention incidences was performed at five-year follow-up. Potential predictive factors of reintervention were evaluated. RESULTS: Of the 67 patients, menorrhagia and/or bulk-related symptoms were resolved after UAE in all but one patient (98.5%). At median follow-up of 60 months (range, 5-60 months), reintervention rate was 10.4%, with seven reintervention cases (five myomectomy and two hysterectomy cases). Complete (100%) or near complete (90-99%) infarction rate of the dominant leiomyoma was 96.4% (54 of 56). Independent factors of reintervention on multivariate logistics regression analysis included near complete or partial (<90%) infarction of the dominant leiomyoma (odds ratio [OR] 22.238; 95% confidence interval [CI] 2.405-205.620; p = 0.006), as well as the presence of non-dominant viable leiomyomas (OR 12.134; 95% CI 1.213-121.409; p = 0.034). CONCLUSION: UAE provides excellent and sustained symptom improvement of symptomatic leiomyomas with a low reintervention rate at five-year follow-up. In addition to near complete or partial infarction of the dominant leiomyoma on follow-up MRI, the presence of viable non-dominant leiomyomas indicates a higher risk of reintervention.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier Science Ireland Ltd-
dc.relation.isPartOfEUROPEAN JOURNAL OF RADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleFive-year clinical outcomes of uterine artery embolization for symptomatic leiomyomas: An analysis of risk factors for reintervention-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.googleauthorJa Kyung Yoon-
dc.contributor.googleauthorKichang Han-
dc.contributor.googleauthorMan-Deuk Kim-
dc.contributor.googleauthorGyoung Min Kim-
dc.contributor.googleauthorJoon Ho Kwon-
dc.contributor.googleauthorJong Yun Won-
dc.contributor.googleauthorDo Yun Lee-
dc.identifier.doi10.1016/j.ejrad.2018.10.017-
dc.contributor.localIdA05085-
dc.contributor.localIdA00296-
dc.contributor.localIdA00296-
dc.contributor.localIdA00420-
dc.contributor.localIdA00420-
dc.contributor.localIdA02443-
dc.contributor.localIdA02443-
dc.contributor.localIdA05487-
dc.contributor.localIdA05487-
dc.contributor.localIdA02718-
dc.contributor.localIdA02718-
dc.contributor.localIdA05062-
dc.contributor.localIdA05062-
dc.relation.journalcodeJ00845-
dc.identifier.eissn1872-7727-
dc.identifier.pmid30527317-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S0720048X1830367X-
dc.subject.keywordEmbolization-
dc.subject.keywordFibroid-
dc.subject.keywordMyoma-
dc.subject.keywordRisk factor analysis-
dc.subject.keywordUterus-
dc.contributor.alternativeNameKwon, Joon Ho-
dc.contributor.affiliatedAuthor권준호-
dc.contributor.affiliatedAuthor김경민-
dc.contributor.affiliatedAuthor김경민-
dc.contributor.affiliatedAuthor김만득-
dc.contributor.affiliatedAuthor김만득-
dc.contributor.affiliatedAuthor원종윤-
dc.contributor.affiliatedAuthor원종윤-
dc.contributor.affiliatedAuthor윤자경-
dc.contributor.affiliatedAuthor윤자경-
dc.contributor.affiliatedAuthor이도연-
dc.contributor.affiliatedAuthor이도연-
dc.contributor.affiliatedAuthor한기창-
dc.contributor.affiliatedAuthor한기창-
dc.citation.volume109-
dc.citation.startPage83-
dc.citation.endPage87-
dc.identifier.bibliographicCitationEUROPEAN JOURNAL OF RADIOLOGY, Vol.109 : 83-87, 2018-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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