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Fibroid Embolization Mine'Ozkul Uterine Fibroids...


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Fibroid Embolization Mine'Ozkul Uterine Fibroids...

  1. 1. Fibroid EmbolizationFibroid Embolization Mine’Ozkul
  2. 2. Uterine Fibroids…  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 symptoms.
  3. 3. Fibroids are typed according to location
  4. 4. Fibroids Sonographically… TA TV
  5. 5. Treatment Options..  Drug Therapy  Fibroid Embolization  Myomectomy  Hysterectomy
  6. 6. What is Fibroid Embolization? A laparascopic procedure which seeks to cut off blood supply to the fibroids causing fibroids to shrink.
  7. 7. Fibroid Embolization can be an excellent alternative to hysterectomy
  8. 8. 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.
  9. 9. The Procedure…  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 groin.  Injection of tiny plastic particles is introduced via the catheter that travel to the uterine artery and attach to the fibroids.
  10. 10. Angiogram of Pre and Post Embolization Bilateral uterine artery injection demonstrates 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 fibroids Pre-embolization angiogram Post-embolization angiogram
  11. 11. Uterine Fibroid Embolization
  12. 12. Uterine Fibroid Embolization
  13. 13. 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.
  14. 14. Over time, Fibroids shrink and typically disappear.
  15. 15. Recovery…  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 one week.
  16. 16. How Successful is Fibroid Embolization?  Recurrence of treated fibroids is very rare.  Studies show that 78-94% of women treated experience significant or total relief of heavy bleeding, pain and associated symptoms.
  17. 17. Risks… Fibroid embolization is considered to be very safe, however, there are some associated risks, as there are with almost any medical procedure.
  18. 18.  Moderate to severe cramping during first several hours after the procedure.  Nausea and fever.  Infection  1% chance of injury to uterus.  Small number of women enter menopause- “Post Embolization Syndrome.” *These complication risks are lower than those of hysterectomy and myomectomy…
  19. 19. References     Interventional Radiology. “Uterine Fibroids:Their Symptoms and Treatment.” Society of Interventional Radiology