Slides #38, #39, #40 & #41

Uterine Artery Embolization

What are the risks and side effects?

Post-embolization syndrome (pain, fever, nausea and vomiting) in 100%
bullet it is of variable severity 
bullet typically lasts up to 1 week

Bleeding or bruising at puncture site
bullet this is significant in <5% of cases
Premature menopause in 1%
bullet Infection requiring hysterectomy in 0.5%

Some women “pass” their fibroids several months after the procedure (~10%)
bullet while this may occur spontaneously, you may require a minor procedure (D & C)

Effects on future pregnancies are unknown
bullet many women have completed pregnancies (including twins) after having this procedure

Non-target embolization
bullet particles go to the wrong place 
bullet very unusual
bullet symptoms are usually short term

There are only 2 reports in the literature of deaths following 
embolization (6000 have been performed worldwide)
bullet 1 from infection
bullet 1 from pulmonary embolus (blood clot in the lung)

There are no reports of allergic or adverse reactions to embolization materials (PVA, Gelfoam or metal coils) in over 20 years of extensive worldwide use

There has not been shown to be an increase in pelvic tumours or congenital birth defects as a result of radiation exposure

First slide Bact to previous slide  Next slide Slide show summary

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Table of Content and links to individual slides:

1. Opening Slide
2. What is a fibroid? 
3. Who gets fibroids?
4. What are the symptoms?
5. How are they diagnosed?
6 & 7 Combined. Uterine Fibroids - As seen on ultrasound. 
8. Uterine Adenomyosis - Another cause of uterine bleeding.
9. Uterine Adenomyosis - As seen on MRI
10. Uterine Adenomyosis - As seen by pathologists
11, 12, 13 & 14 combined: How are they treated?
15. Comparison of treatment options
16. What is Uterine Artery Embolization?
17. Uterine Fibroids - History.
18. How is it done?
19. How is it done? ...continued.
20. How does it work?
21. What does the doctor see?
22. What does the doctor see?  ...continued.
23. Another Example.
24. What does the doctor see? ...continued.
25. What does the doctor see?  ...continued.
26. & 27 combined. CT scan after embolization.
28. MRI after embolization.
29. MRI after embolization. ...continued.
30. MRI after embolization. ...continued.
31. MRI before and after embolization. ...continued.
32. What do I need to do first?
33. Pre-procedural Evaluation.
34, 35, & 36 combined. What will I experience?
37. What happens when I go home?
38, 39, 40 & 41 Combined. What are the risks and side effects?
42. What about Radiation?
43. What are the results?
44 & 45 Combined. Clinical Study 1.
46. Clinical Study 2.
47. Summary of Presentation.

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