Benign growth of the muscular wall of
the uterus that are kept nourished by
estrogen and avid blood supply.
Fibroids can be located in different
parts of the uterus, causing different
What is Fibroid Embolization?
A laparascopic procedure which
seeks to cut off blood supply to
the fibroids causing fibroids to
can be an excellent
How new is embolization?
Embolization of the uterus is not new
and has been used successfully to
treat heavy bleeding after child birth
for over 20 years.
Embolization to treat fibroids has been
used since 1985.
Guided fluoroscopy allows an interventional
radiologist to insert a catheter into the
contralateral side of a femoral artery headed for
the uterine artery through a ¼ inch nick in the
Injection of tiny plastic particles is introduced via
the catheter that travel to the uterine artery and
attach to the fibroids.
Angiogram of Pre and Post
Bilateral uterine artery
enlarged tortuous vessels
supplying the fibroids.
After successful embolization,
there is no further flow of
contrast, indicating no further
forward flow of blood to the
Pre-embolization angiogram Post-embolization angiogram
The Plastic Particles…
Are about the size of grains of sand.
Flow to the fibroids first then wedge in the
vessels that feed those fibroids.
Cannot travel to any other part of the body.
Over several minutes portions of the UT artery
nearest the fibroids become blocked.
Arterial flow will still be present to the normal
potions of the uterus.
Over time, Fibroids shrink and
May require a hospital stay of one night.
Pain relieving medication and drugs to
control swelling are typically used.
Fever can occur and is treated w/ Tylenol.
Many women resume light activities in a
few days and the majority of women are
able to return to normal activities within
How Successful is Fibroid Embolization?
Recurrence of treated fibroids is very
Studies show that 78-94% of women
treated experience significant or total
relief of heavy bleeding, pain and
Fibroid embolization is considered to
be very safe, however, there are some
associated risks, as there are with
almost any medical procedure.
Moderate to severe cramping during
first several hours after the
Nausea and fever.
1% chance of injury to uterus.
Small number of women enter
menopause- “Post Embolization
*These complication risks are lower than those of
hysterectomy and myomectomy…
Interventional Radiology. “Uterine
Fibroids:Their Symptoms and
Treatment.” Society of Interventional