The Society of Interventional Radiology held its 32nd annual Scientific Meeting from March 1 – March 6, 2007. Multiple abstracts and posters were presented. I’ll try my best to discuss as many of the fibroid-related ones as I can. Yes, this is (hopefully) the first in a series of very geeky reports.
A Prospective Randomized Comparison of Partial to Complete Uterine Fibroid Embolization
L. Machan, University of British Columbia, Vancouver, BC, Canada · M. Eddy · B. Sanders
The authors wanted to determine if the endpoint of embolization (partial vs. complete) affected UFE outcome.
136 women were randomized into two groups (partial or complete). For complete UFE, particles were injected until there was a complete lack of blood flow in the uterine artery (stasis) as seen with fluoroscopic imaging. For partial, particles were injected until fibroid parenchymal blush was no longer visible with fluoroscopic imaging. Follow-up was at six weeks, three months, six months, and at six month intervals up to three years. Final follow-up was at four years.
Results and Conclusions:
No significant difference. Similar outcomes were reported for complete or partial embolization. Decrease in volume for both the dominant fibroid and total uterine volume were comparable. General well-being reported at one year (87.5%) and four years (partial:75.6%, complete:79.3%) were also similar.
UFE with PVA particles results in similar outcomes whether complete or partial embolization is performed. Excellent subjective and objective patient outcomes and a high degree of patient satisfaction were achieved in both groups. Although objective measures of overall well being fell slightly with time, patients remain highly satisfied with UFE after 4 years.
What’s the significance?
Because partial embolization is thought to result in fewer complications, a lower level of pain, and have less of an effect on sexual function and fertility, studies showing statistically equal effectiveness between partial UFE and complete UFE are important. Although preliminary, these results are an exciting step towards fine-tuning an already elegant procedure.
To view the abstract as it was presented at the meeting, visit this Abstract Presentation page and click Uterine Fibroid: Outcomes. There you will find a list of several abstracts including this one.
For more information:
Treating Uterine Fibroid Tumors | Fibroid Embolization
Surgical Video of Uterine Fibroid Embolization (OR-Live.com)
What to Expect from a Uterine Artery Embolization
Let’s hear your questions or thoughts on this abstract – A Prospective Randomized Comparison of Partial to Complete Uterine Fibroid Embolization.