Post-Embolization Syndrome: Leukocytosis after Uterine Artery Embolization
S. Ganguli, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA · S. Faintuch · D.J. Rabkin · E.V. Lang
The authors wanted to determine the incidence and magnitude of leukocytosis after Uterine Artery Embolization as a component of post-embolization syndrome.
This was a retrospective study of UAE patients who had the procedure between 2002 and 2006 at the institution of the authors. Medical records were reviewed for any evidence of infection within a week after UAE. Leukocytosis was defined as a WBC > 11,000.
Results and Conclusions:
78 patients were included in the study. There was a significant increase in WBC after UAE. Some degree of WBC increase was seen in 86% of patients. New onset of leukocytosis following UAE was observed in 21% (16/78) of patients. All patients had follow-up appointments 7 days after UAE with no evidence of infection. Three patients were readmitted on post-procedure day 4 for pain control.
The authors demonstrated that leukocytosis presents within 24 hours post-procedure in a signficant number of patients undergoing elective UAE.
Interventional radiologists and other clinicians involved in the care of these patients should expect such changes and not be alarmed for early infectious complications.
What’s the significance?
That last sentence I quoted clearly points to the importance of this study. I guess my graduate level Cell Biology classes ended up helping me out in terms of my own health. I remember studying the processes of inflammation and cell death so I knew what was involved.
Doctors must be willing to explain the implications and patients must be willing to listen and ask questions to reach an adequate level of understanding about any procedure. Ladies, you really do need to be inquisitive. Proper communication is an essential factor in good health care.
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.
Let’s hear your questions or thoughts on this abstract –
Post-Embolization Syndrome: Leukocytosis after Uterine Artery Embolization.