Leiomyoma treatment by uterine artery embolization using gelatin sponge prepared by the pumping method

Kojima,Takahisa; Taki,Yasunori; Fujisawa,Hidefumi; Koyama,Kumiko

doi:10.3892/etm.2012.688

November 2012 Volume 4 Issue 5

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November 2012 Volume 4 Issue 5

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Article

Leiomyoma treatment by uterine artery embolization using gelatin sponge prepared by the pumping method

Authors:
- Takahisa Kojima
- Yasunori Taki
- Hidefumi Fujisawa
- Kumiko Koyama
View Affiliations / Copyright

Affiliations: Amor Clinic, Kanagawa 222-0033, Japan, Department of Radiology, Fuchu Keijinkai Hospital, Tokyo 183-0034, Japan, Department of Radiology, Showa University Northern Yokohama Hospital, Kanagawa 224-8503, Japan
Pages: 781-784
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Published online on: August 29, 2012

https://doi.org/10.3892/etm.2012.688
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Abstract

Uterine leiomyoma, a benign tumor, may be treated with drugs, albeit surgical resection is more common. The present study aimed to evaluate the treatment of leiomyoma cases by uterine artery embolization (UAE) using a gelatin sponge prepared by the pumping method. The results of 700 leiomyoma cases treated by UAE in the outpatient department were evaluated. UAE was performed by injecting gelatin sponge prepared by the pumping method into the uterine artery. Among 700 cases, effective cases were 680 (97.2%), ineffective cases were 18 (2.8%) and impossible cases for UAE were 2 (0.2%). Retreatment was required in 23 cases (3.3%). Complication events designated by the Society of Interventional Radiology Clinical Practice Guidelines occurred in 31 cases (4.4%): 1 case showed permanent adverse sequelae, 4 cases required major therapy with a prolonged hospitalization (>48 h) and 10 patients required therapy with minor hospitalization (<48 h). The remaining 16 cases required nominal or no therapy. Follow-up of patients was performed for 599 cases for an average period of 1.2±0.9 years, ranging between 1 month and 6 years. Pregnancy after UAE was observed in 12 cases/15 cycles. Thus, the findings indicate that UAE using gelatin sponge prepared by the pumping method applied to outpatients is a safe and useful treatment procedure.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Leiomyoma treatment by uterine artery embolization using gelatin sponge prepared by the pumping method

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