Endovascular occlusion of uterine arteries in the treatment of symptomatic uterine leiomyoma

Рентгенэндоваскулярная окклюзия маточных артерий в лечении симптомной миомы матки
Abishev Bakhyt 1, Rakhimzhanova Raushan 2, Tazhibaeyv Dulat 3
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1 Head of the department of Radiology, «UMC», National Research Center of Maternity and Child Health, Astana, Kazakhstan
2 Head of the Department of Radiology named after academician Zh. Kh. Khamzabaev, JSC “MUA”, Astana, Kazakhstan
3 Head of the department of Radiology, «UMC» National Diagnostics Center, Astana, Kazakhstan
J CLIN MED KAZ, Volume 3, Issue 45 special issue, pp. 11-13. https://doi.org/10.23950/1812-2892-JCMK-00478
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Objective: assess the condition of the uterus and myomatous nodes after EMA in different periods by ultrasound and MRI.
Methods. EMA was performed in 632 patients with various forms of uterine fbroids. To achieve this goal, 120 observations with various forms of uterine fbroids were analyzed.
Results. Reduction of myomatous nodes according to ultrasound and MRI in 1 month was - 18.4-17.3%, after 3 months - 40.7-42.9%, after 6 months it was - 60.4-61.8% and through 12 months - 72.5-74.7% (р˂0.05) respectively. Necrotic isolation of the node, expulsion of myomatous nodes and removal of the partially submucous node giving birth was observed in n-18 (15%) cases. In n-12 (10%) observations, after uterine artery embolization, laparoscopic myomectomy of the subserousmyomatous nodes was performed.
Conclusion. our experience shows that EMA is highly effective method for treating uterine fbroids, performed depending on various forms alone or in combination with operational accommodation.


Bakhyt A, Raushan R, Dulat T. Endovascular occlusion of uterine arteries in the treatment of symptomatic uterine leiomyoma. Journal of Clinical Medicine of Kazakhstan. 2017;3(45 special issue):11-3. https://doi.org/10.23950/1812-2892-JCMK-00478


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