Uterine limited embolization

Pelage JP, LeDref O, Beregi JP,et al. (2003) Limited uterine artery embolization with tris-acryl gelatin microspheres for uterine fibroids. J Vase Interv Radiol 14 15-20... 

Uterus-conserving surgery is hampered by the lack of a clearly defined dissection plane but may be of value in the infertile patient [133], Laparoscopic resection of adenomyosis has been shown to reduce pain, menorrhagia, and dysmenorrhea in small case series with limited follow-up [124, 214]. Recently, uterine artery embolization (UAE) has been reported to be successful in relieving menorrhagia and dysmenorrhea at short-term. The long-term benefit of UAE in patients with adenomyosis is still under investigation [93,94,141,174]. 

In our experience, use of vasodilators in the presence of spasm was not very helpful. When spasm occurs, the guiding catheter needs to be pulled out of uterine artery until the spasm is resolved. Sometimes the microcatheter should be pulled out of uterine artery as well. In cases of persistent spasm of the left uterine artery, one can remove the catheter and proceed to the embolization of the right uterine artery before re-catheterization of the left side. If a flow-limiting spasm persists, the use of smaller sized... 

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