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01-04-2012 | Letter to the Editor

Subsequent pregnancy after two uterine artery embolizations

Authors: Samadh F. Ravangard, Yu Ming Victor Fang

Published in: Archives of Gynecology and Obstetrics | Issue 4/2012

Excerpt

Uterine artery embolization (UAE) was first described in 1995 as an effective alternative in the treatment of symptomatic uterine leiomyomas [1]. This procedure has remained a popular option for women wishing to avoid surgery (myomectomy or hysterectomy) and preserve the uterus [2]. For women wishing to maintain fertility, the safety of this procedure remains controversial. There have been a limited number of reports describing the surveillance and outcome of pregnancy after embolization. Complications such as fetal malpresentation, small for gestational age, premature delivery, cesarean delivery, and postpartum hemorrhage have been previously reported in pregnancies occurring after a single UAE [3]. Here, we describe the first reported case of pregnancy after undergoing two prior uterine artery embolizations. …

Ravina JH, Herbreteau D, Cirarau-Vignernon N, Bouret JM, Houdart E, Aymard A et al (1995) Arterial embolization to treat uterine myomata. Lancet 346:671–672PubMedCrossRef

American College of Obstetricians and Gynecologists (2008) Alternatives to hysterectomy in the management of leiomyomas. ACOG practice bulletin no. 96. American College of Obstetricians and Gynecologists, Washington

Golberg J, Pereira L, Berghella V (2002) Pregnancy after uterine artery embolization. Obstet Gynecol 100:869–872CrossRef

Usadi R, Marshburn PB (2007) The impact of uterine artery embolization on fertility and pregnancy outcome. Curr Opin Obstet Gynecol 19:279–283PubMedCrossRef

Berkane N, Moutafoff-Borie C (2010) Impact of previous uterine artery embolization on fertility. Curr Opin Obstet Gynecol 22:242–247PubMedCrossRef

Pron G, Cohen M, Soucie J, Garvin G, Vanderburgh L, Bell S (2003) The Ontario uterine fibroid embolization trial. Part 1. Baseline patient characteristics, fibroid burden, and impact on life. Fertil Steril 79:112–119PubMedCrossRef

Pabon IP, Magret JP, Unzurrunzaga EA, Garcia IM, Catalan IB, Cano Vieco ML (2008) Pregnancy after uterine fibroid embolization: follow up of 100 patients embolized using tris-acryl gelatin microspheres. Fertil Steril 90:2356–2360CrossRef

Pelage JP, Guaou NG, Jha RC, Ascher SM, Spies JB (2004) Uterine fibroid tumors: long term MR imaging outcome after embolization. Radiology 230:803–809PubMedCrossRef

Title: Subsequent pregnancy after two uterine artery embolizations
Authors: Samadh F. Ravangard
Yu Ming Victor Fang
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 4/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-011-2129-x

At a glance: The STEP trials

Springer Medicine

Subsequent pregnancy after two uterine artery embolizations

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

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