Uterine artery embolization: A review of current concepts

Best Pract Res Clin Obstet Gynaecol. 2018 Jan;46:66-73. doi: 10.1016/j.bpobgyn.2017.09.003. Epub 2017 Sep 29.

Abstract

Uterine artery embolization (UAE) has gained traction as a safe and effective treatment modality for symptomatic uterine leiomyomata since its introduction nearly two decades ago. This review includes an overview of current concepts with regard to patient selection, technique, and outcomes following UAE. Specific topics also include the impact of this procedure on fertility and pregnancy, the emerging role of UAE in the treatment of adenomyosis, and how UAE compares with surgical intervention for the treatment of symptomatic leiomyomata.

Keywords: Adenomyosis; Embolization; Fertility; Fibroids; MRI; UAE.

Publication types

  • Review

MeSH terms

  • Adenomyosis / complications
  • Adenomyosis / surgery
  • Female
  • Fertility
  • Humans
  • Leiomyoma / complications
  • Leiomyoma / diagnostic imaging
  • Leiomyoma / surgery*
  • Magnetic Resonance Imaging
  • Patient Selection
  • Pregnancy
  • Randomized Controlled Trials as Topic
  • Retrospective Studies
  • Review Literature as Topic
  • Treatment Outcome
  • Uterine Artery Embolization / adverse effects
  • Uterine Artery Embolization / methods*
  • Uterine Neoplasms / complications
  • Uterine Neoplasms / diagnostic imaging
  • Uterine Neoplasms / surgery*