American Journal of Obstetrics & Gynecology
Volume 196, Issue 6 , Pages 588.e1-588.e6 , June 2007

Predictors of hysterectomy after uterine artery embolization for leiomyoma

An abstract for this study was presented orally as the Frank Lynch Memorial Essay at the 73rd Annual Meeting of the Pacific Coast Obstetrical and Gynecological Society, Sun Valley, ID, Oct. 4-8, 2006.

  • Katherine Gabriel-Cox, MD

      Affiliations

    • Department of Obstetrics and Gynecology, San Francisco, CA
    • ,
  • Gavin F. Jacobson, MD

      Affiliations

    • Department of Obstetrics and Gynecology, San Francisco, CA
    • ,
  • Mary Anne Armstrong, MA

      Affiliations

    • Division of Research, Oakland, Kaiser Permanente Northern California, CA
    • ,
  • Yun-Yi Hung, PhD

      Affiliations

    • Division of Research, Oakland, Kaiser Permanente Northern California, CA
    • ,
  • Lee A. Learman, MD, PhD

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, School of Medicine, San Francisco, CA.

Received 1 September 2006 ,Revised 22 November 2006 ,Accepted 2 March 2007.

References 

  1. ACOG Committee Opinion. Uterine artery embolization. 2004;No 293. February
  2. Spies JB, Myers ER, Worthington-Kirsch R, Mulgund J, Goodwin S, Mauro M. The fibroid registry: symptom and quality-of-life status 1 year after therapy. Obstet Gynecol. 2005;106:1309–1318
  3. Walker WJ, Pelage JP. Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up. BJOG. 2002;109:1262–1272
  4. Spies JB, Bruno J, Czeyda-Pommersheim F, Magee ST, Ascher SA, Jha RC. Long-term outcome of uterine artery embolization of leiomyomata. Obster Gynecol. 2005;106:933–939
  5. Krieger N. Overcoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology. Am J Public Health. 1992;82:703–710
  6. Worthington-Kirsch R, Spies JB, Myers ER, et al. The fibroid registry for outcomes data (FIBROID) for uterine embolization. Obstet Gynecol. 2005;106:52–59
  7. Pron G, Bennett J, Common A, et al. Technical results and effects of operator experience on uterine artery embolization for fibroids: the Ontario uterine fibroid embolization trial. J Vasc Interv Radiol. 2003;14:545–554
  8. Pron G, Mocarski E, Bennett J, et al. Tolerance, hospital stay, and recovery after uterine artery embolization for fibroids: the Ontario uterine fibroid embolization trial. J Vasc Interv Radiol. 2003;14:1243–1250
  9. Hutchins FL, Worthington-Kirsch R, Berkowitz RP. Selective uterine artery embolization as primary treatment for symptomatic leiomyomata uteri. J Am Assoc Gynecol Laparosc. 1999;6:279–284
  10. Huang JYJ, Souzan K, Dugas A, Valenti D, Tulandi T. Failure of uterine fibroid embolization. Fertil Steril. 2006;85:30–35
  11. McLucas B, Reed RA, Goodwin S, et al. Outcomes following unilateral artery embolisation. Br J Radiol. 2002;75:122–126
  12. Nicholson T. Outcome in patients undergoing unilateral uterine artery embolization for symptomatic fibroids. Clin Radiol. 2004;59:186–191
  13. Smith WJ, Upton E, Shuster EJ, Klein AJ, Schwartz ML. Patient satisfaction and disease specific quality of life after uterine artery embolization. Am J Obstet Gynecol. 2004;190:1697–1706
  14. Prollius A, de Vries C, Loggenberg E, du Plessis A, Nel M, Wessels PH. Uterine artery embolisation for symptomatic fibroids: the effect of the large uterus on outcome. BJOG. 2004;111:239–242
  15. Pron G, Bennett J, Common A, et al. The Ontario uterine fibroid embolization trial: part 2, uterine fibroid reduction and symptom relief after uterine artery embolization for fibroids. Fertil Steril. 2003;79:120–127
  16. Pron G, Cohen M, Soucie J, Garvin G, Vanderburgh L, Bell S. The Ontario uterine fibroid embolization trial: part 1, baseline patient characteristics, fibroid burden, and impact on life. Fertil Steril. 2003;79:112–119
  17. Spies JB, Spector A, Roth AR, Baker CM, Mauro L, Murphy-Skrynarz K. Complications after uterine artery embolization for leiomyomas. Obstet Gynecol. 2002;100:873–880
  18. Hehenkamp WJ, Volkers NA, Donderwinkel PFJ, et al. Uterine artery embolization versus hysterectomy in the treatment of symptomatic uterine fibroids (EMMY trial): peri- and postprocedural results from a randomized controlled trial. Am J Obstet Gynecol. 2005;193:1618–1629
  19. Mehta H, Sandhu C, Matson M, Belli AM. Review of readmissions due to complications from uterine fibroid embolization. Clin Radiol. 2002;57:1122–1124
  20. Goldberg J, Burd I, Price FV, Worthington-Kirsch R. Leiomyosarcoma in a premenopausal patient after uterine artery embolization. Am J Obstet Gynecol. 2004;191:1733–1735
  21. Al-Badr A, Faught W. Uterine artery embolization in an undiagnosed uterine sarcoma. Obstet Gynecol. 2001;97:836–837
  22. Common AA, Mocarski JM, Kolin A, Pron G, Soucie J. Therapeutic failure of uterine fibroid embolization caused by underlying leiomyosarcoma. J Vasc Interv Radiol. 2001;12:1449–1452
  23. Joyce A, Hessami S, Heller D. Leiomyosarcoma after uterine artery embolization. J Reprod Med. 2001;46:278–280
  24. Leibsohn S, d’Ablaing G, Mishell DR, Schlaerth JB. Leiomyosarcoma in a series of hysterectomies performed for presumed uterine leiomyomas. Am J Obstet Gynecol. 1990;162:968–976
  25. Siskin GP, Tublin ME, Stainken BF, Dowling K, Dolen EG. Uterine artery embolization for the treatment of adenomyosis: clinical response and evaluation with MR imaging. Am J Roentgenol. 2001;177:297–302
  26. Kim MD, Won JW, Lee DY, Ahn CS. Uterine artery embolization for adenomyosis without fibroids. Clini Radiol. 2004;59:520–526
  27. Kitamura Y, Allison SJ, Jha RC, Spies JB, Flick PA, Ascher SM. MRI of adenomyosis: changes with uterine artery embolization. Am J Roentgenol. 2006;186:855–864

 Cite this article as: Gabriel-Cox K, Jacobson GF, Armstrong MA, Hung YY, et al. Predictors of hysterectomy after uterine artery embolization for leiomyoma. Am J Obstet Gynecol 2007;196:588.e1-588.e6.Reprints not available from the authors.This study was funded in part by the Women’s Health Research Institute, Kaiser Permanente Northern California.

PII: S0002-9378(07)00304-3

doi: 10.1016/j.ajog.2007.03.014

American Journal of Obstetrics & Gynecology
Volume 196, Issue 6 , Pages 588.e1-588.e6 , June 2007

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