Tuesday, January 22, 2013

Uterine Artery Embolization: Complications

Uterine artery embolization (UAE) is increasingly performed as a minimally invasive alternative to hysterectomies and myomectomies in women with leiomyomas. As with any procedure, there are associated complications which include:
  1. Fibroid passage: usually 3-6 months after procedure
  2. Pulmonary embolus: most common cause of death after UAE
  3. Deep venous thrombus: usually involving pelvic veins
  4. Infectious disease: endometritis (most common), pelvic inflammatory disease, pyometria
  5. Inadvertent embolization of adjacent organs or of a malignant leiomyosarcoma
  6. Ovarian dysfunction due to inadvertent embolization of the ovarian artery

Kandarpa K and Machan L. Handbook of Interventional Radiologic Procedures. 4th ed.
Kitamura Y, Ascher SM, Cooper C, et al. Imaging manifestations of complications associated with uterine artery embolization. Radiographics 2005;25:S119-32.

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