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Visualization of utero-ovarian anastomoses: Comparison between patients with and without uterine fibroid

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DOI: 10.4236/jbise.2012.512A096    3,366 Downloads   5,241 Views   Citations


Purpose: To retrospectively review uteroovarian anastomosis (UOA) visualization during uterine artery embolization (UAE) in patients with or without uterine fibroids (UFs). Material and Methods: 43 patients underwent UAE for uterine fibroids (n = 23) and gynecological hemorrhage (n = 20). The frequency of angiographic visualization of UOAs was compared between the two groups and analyzed by the Fisher’s exact test. Results: Except for one patient with no right uterine artery, 85 uterine arteries were evaluated. Of these 85 uterine arteries, 23 UOA were recognized: 14 UOAs (58%) (right: 5 [21.7%], left: 9 [37.5%]) were visualized in 23 patients with UFs, and 9 UOAs (47.4%) (right: 4 [21%], left: 5 [26.3%]) were visualized in 20 patients with gynecological hemorrhage. In both groups, UOA was observed after UAE in one patient. Statistically significant difference was not observed for UOAs visualized between patients with or without UFs except a group of left UAE in patients with UFs (P = 0.036). Conclusion: The frequency of UOAs visualized during angiography was similar between patients with or without UFs. Therefore, UOA should be visualized carefully during UAE in patients with gynecological hemorrhage.

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The authors declare no conflicts of interest.

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Baba, Y. , Hayashi, S. , Ikeda, S. , Nakajo, M. , Yoshinaga, M. and Douchi, T. (2012) Visualization of utero-ovarian anastomoses: Comparison between patients with and without uterine fibroid. Journal of Biomedical Science and Engineering, 5, 767-770. doi: 10.4236/jbise.2012.512A096.


[1] Lohle, P.N., Voogt, M.J., De Vries, J., Smeets, A.J., Vervest, H.A., Lampmann, L.E., et al. (2008) Long-term outcome of uterine artery embolization for symptomatic uterine leiomyomas. Journal of Vascular and Interventional Radiology, 19, 319-326. doi:10.1016/j.jvir.2007.10.011
[2] Walker, W.J. and Barton-Smith, P. (2006) Long-term follow up of uterine artery embolisation—An effective alternative in the treatment of fibroids. BJOG, 113, 464- 468. doi:10.1111/j.1471-0528.2006.00885.x
[3] Spies, J.B., Cor-nell, C., Worthington-Kirsch, R., Lipman, J.C. and Benenati, J.F. (2007) Long-term outcome from uterine fibroid embolization with tris-acryl gelatin micro- spheres: results of a multicenter study. Journal of Vascular and Interventional Radiology, 18, 203-207. doi:10.1016/j.jvir.2006.12.006
[4] Nikolic, B., Spies, J.B., Lundsten, M.J. and Abbara, S. (2000) Patient radiation dose associated with uterine artery embolization. Radiology, 214, 121-125.
[5] Spies, J.B., Roth, A.R., Gonsalves, S.M. and Murphy- Skrzyniarz, K.M. (2001) Ovarian function after uterine artery embolization for leiomyomata: Assessment with use of serum follicle stimulating hormone assay. Journal of Vascular and Interventional Radiology, 12, 437-442. doi:10.1016/S1051-0443(07)61881-8
[6] Kim, H.S., Paxton, B.E. and Lee, J.M. (2008) Long-term efficacy and safety of uterine artery embolization in young patients with and without uteroovarian anastomoses. Journal of Vascular and Interventional Radiology, 19, 195-200. doi:10.1016/j.jvir.2007.08.014
[7] Eriksson, L.G., Mul-ic-Lutvica, A., Jangland, L. and Nyman, R. (2007) Massive postpartum hemorrhage treated with transcatheter arterial embolization: Technical aspects and long-term effects on fertility and menstrual cycle. Acta Radiologica, 48, 635-642. doi:10.1080/02841850701370683
[8] Katsumori, T., Naka-jima, K., Mihara, T. and Tokuhiro, M. (2002) Uterine artery embolization using gelatin sponge particles alone for sympto-matic uterine fibroids: Midterm results. American Journal of Roentgenology, 178, 135- 139.
[9] Karlsson, S. and Jonsson, K. (1980) Angiography of the ovarian artery in adnexal lesions. Acta Radiologica Diagnosis, 21, 739-746.
[10] Karlsson, S. and Persson, P.H. (1980) Angiography in uterine and adnexal tumors. Acta Radiologica Diagnosis, 21, 11-20.
[11] Kim, H.S., Tsai, J., Lee, J.M., Vang, R., Griffith, J.G. and Wallach, E.E. (2006) Effects of utero-ovarian anastomo- ses on basal follicle-stimulating hormone level change after uterine artery embolization with trisacryl gelatin microspheres. Journal of Vascular and Interventional Radiology, 17, 965-971. doi:10.1097/01.RVI.0000220425.23309.15
[12] Kim, H.S., Thonse, V.R., Judson, K. and Vang, R. (2007) Utero-ovarian anastomosis: Histopathologic correlation after uterine artery embolization with or without ovarian artery embolization. Journal of Vascular and Interventional Radiology, 18, 31-39. doi:10.1016/j.jvir.2006.10.008
[13] Wolanske, K.A., Gordon, R.L., Kerlan Jr., R.K., Wilson, M.W., LaBerge, J.M. and Jacoby, A.F. (2003) Reversal of flow in the ovarian artery during uterine artery embolization. Journal of Vascular and Interventional Radiology, 14, 785-787.doi:10.1097/01.RVI.0000079989.80153.28

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