3D angiography-guided superselective embolization of the supplying arteries of uterine fibroids:preliminary results in 14 patients
10.3969/j.issn.1008-794X.2024.05.013
- VernacularTitle:3D血管造影指导下超选择栓塞子宫肌瘤供血动脉14例
- Author:
Kai ZHANG
1
;
Hongrui REN
;
Lin LU
;
Xin ZHAO
;
Xiangting LIU
;
Guangying NIU
;
Wenzhe ZHANG
Author Information
1. 450052 河南郑州 郑州大学第三附属医院介入科
- Keywords:
uterine fibroids;
3D angiography;
supplying artery;
superselective vascular embolization
- From:
Journal of Interventional Radiology
2024;33(5):533-536
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of superselective embolization of the supplying arteries of uterine fibroids under the guidance of 3D angiography in treating uterine fibroids.Methods The clinical data of 14 patients with uterine fibroids,who received interventional embolization therapy at the Third Affiliated Hospital of Zhengzhou University of China,were retrospectively analyzed.Of the 14 patients,5 received microcatheter superselective embolization of the supplying arteries of uterine fibroids after the origin and path of the supplying arteries were clarified by 3D uterine artery angiography(group A),and 9 received embolization of the bilateral uterine arteries up to their main trunks because the fibroids had complex blood supply(group B).The sums of the preoperative and postoperative one-year maximum diameter of uterine fibroids,and the reduction rate of fibroid were statistically analyzed.Results The mean sum of the preoperative and postoperative one-year maximum diameter of uterine fibroids in group A were(85.00±43.35)mm and(35.20±25.96)mm respectively,and the difference was statistically significant(P=0.006),which in group B were(65.00±12.68)mm and(49.44±24.83)mm respectively,and the difference was not statistically significant(P=0.052).There was no statistically significant differences in the mean sum of the preoperative maximum diameter of uterine fibroids and in the postoperative one-year maximum diameter of uterine fibroids between the two groups(P=0.366 and P=0.331).The median reduction rate of uterine fibroids in group A and group B was 62％and 25％respectively,and the difference was statistically significant(P=0.031).Conclusion For the treatment of uterine fibroids,3D angiography-guided superselective embolization of the supplying arteries of uterine fibroids is superior to the embolization of the bilateral uterine arteries in clinical curative efficacy.(J Intervent Radiol,2024,33:533-536)
