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Is Uterine Artery Embolization for Patients with Large Myomas Safe and Effective? A Retrospective Comparative Study in 323 Patients

DC FieldValueLanguage
dc.contributor.author김만득-
dc.contributor.author윤정현-
dc.date.accessioned2014-12-18T08:42:20Z-
dc.date.available2014-12-18T08:42:20Z-
dc.date.issued2013-
dc.identifier.issn1051-0443-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86801-
dc.description.abstractPURPOSE: To evaluate the effectiveness, safety, and complications of uterine artery embolization (UAE) in women with large fibroid tumors. MATERIALS AND METHODS: From January 2005 to February 2011, 323 patients underwent UAE for symptomatic uterine leiomyomas without adenomyosis and were included in this study. Patients were divided into two groups: those with a large tumor burden (group 1; n = 63), defined as a dominant tumor with a longest axis of at least 10 cm or a uterine volume of at least 700 cm(3); and the control group (group 2; n = 260). Tumor infarction and volume reduction were calculated based on magnetic resonance imaging findings. Symptom status was assessed with a visual analog scale. Postprocedure complications and repeat interventions were recorded. The data were analyzed with appropriate statistical tests. RESULTS: No significant differences were seen between the two groups in volume reduction of dominant tumors (46.5% in group 1 vs 52.0% in group 2; P = .082) or percentage volume reduction of the uterus (40.7% in group 1 vs 36.3% in group 2; P = .114). Also, no significant differences were seen between the two groups regarding satisfaction scores at immediate or midterm follow-up (P = .524 and P = .497) or in the presence of procedure-related complications (P = .193). CONCLUSIONS: UAE outcomes in large fibroid tumors were comparable to those in smaller tumors, without an increased risk of significant complications. Tumor size may not be a key factor in predicting successful outcomes of UAE.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAntineoplastic Agents/therapeutic use*-
dc.subject.MESHChemoembolization, Therapeutic/statistics & numerical data*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyoma/epidemiology*-
dc.subject.MESHMyoma/therapy*-
dc.subject.MESHPrevalence-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Assessment-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUterine Artery Embolization/statistics & numerical data*-
dc.subject.MESHUterine Neoplasms/epidemiology*-
dc.subject.MESHUterine Neoplasms/therapy*-
dc.subject.MESHYoung Adult-
dc.titleIs Uterine Artery Embolization for Patients with Large Myomas Safe and Effective? A Retrospective Comparative Study in 323 Patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorHye Jeong Choi-
dc.contributor.googleauthorGyeong Sik Jeon-
dc.contributor.googleauthorMan Deuk Kim-
dc.contributor.googleauthorJong Tae Lee-
dc.contributor.googleauthorJung Hyun Yoon-
dc.identifier.doi10.1016/j.jvir.2013.02.003-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00420-
dc.contributor.localIdA02595-
dc.relation.journalcodeJ01922-
dc.identifier.eissn1535-7732-
dc.identifier.pmid23566524-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S1051044313005794-
dc.subject.keywordAdult-
dc.subject.keywordAntineoplastic Agents/therapeutic use*-
dc.subject.keywordChemoembolization, Therapeutic/statistics & numerical data*-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordMiddle Aged-
dc.subject.keywordMyoma/epidemiology*-
dc.subject.keywordMyoma/therapy*-
dc.subject.keywordPrevalence-
dc.subject.keywordRepublic of Korea/epidemiology-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordRisk Assessment-
dc.subject.keywordTreatment Outcome-
dc.subject.keywordUterine Artery Embolization/statistics & numerical data*-
dc.subject.keywordUterine Neoplasms/epidemiology*-
dc.subject.keywordUterine Neoplasms/therapy*-
dc.subject.keywordYoung Adult-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.alternativeNameYoon, Jung Hyun-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.contributor.affiliatedAuthorYoon, Jung Hyun-
dc.rights.accessRightsnot free-
dc.citation.volume24-
dc.citation.number6-
dc.citation.startPage772-
dc.citation.endPage778-
dc.identifier.bibliographicCitationJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.24(6) : 772-778, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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