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Anastomoses of the Ovarian and Uterine Arteries: A Potential Pitfall and Cause of Failure of Uterine Embolization

Journal Article · · Cardiovascular and Interventional Radiology
DOI:https://doi.org/10.1007/S002700010090· OSTI ID:21083588
 [1];  [2];  [1]
  1. Department of Radiology, St. George's Hospital, Blackshaw Road, London, SW17 OQT (United Kingdom)
  2. Department of Radiology, Hull Royal Infirmary, Anlaby Road, Hull HU3 2JZ (United Kingdom)
Four women with symptomatic uterine fibroids were treated by uterine artery embolization (UAE). In all cases both uterine arteries were embolized via a single femoral puncture with polyvinyl alcohol using a selective catheter technique. In three cases, the ovarian artery was not visible on the initial angiogram before embolization, but appeared after the second uterine artery had been treated. In one case of clinical failure following UAE, a repeat angiogram demonstrated filling of the fibroids from the ovarian artery. Anastomoses between uterine and ovarian arteries may cause problems for radiologists performing UAE and are a potential cause of treatment failure.
OSTI ID:
21083588
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 5 Vol. 23; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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