Rofo 2019; 191(07): 630-634
DOI: 10.1055/a-0884-3168
Guideline
© Georg Thieme Verlag KG Stuttgart · New York

Uterine Artery Embolization (UAE) for Fibroid Treatment – Results of the 7th Radiological Gynecological Expert Meeting

Article in several languages: English | deutsch
Thomas Kröncke*
1  Department of Diagnostic and Interventional Radiology and Neuroradiology, Universitätsklinikum Augsburg, Germany
,
Matthias David*
2  Department of Gynecology, Charité – Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Germany
› Author Affiliations
Further Information

Publication History

28 February 2019

19 March 2019

Publication Date:
28 May 2019 (online)

Abstract

Uterine artery embolization (UAE) is a safe and effective organ sparing treatment for fibroid-related symptoms based on a broad range of published evidence including randomized-controlled trials. Indication for treatment by means of UAE are symptomatic uterine fibroids. UAE is an alternative to surgical and medical treatment for uterine fibroids as well treatment by MRgFUS. This consensus paper covers the structural prerequisites, the criteria for technical and clinical success, contraindications, side effects and complications as well as the role of UAE treatment in women wishing to conceive and gives guidance on radiation safety measures and clinical follow-up.

Key Points:

  • The therapeutic aim of UAE for fibroids is the improvement (alleviation) or disappearance of fibroid-related symptoms

  • The indication for UAE treatment is based on a gynecological examination incl. ultrasound performed by a specialist

  • UAE is an alternative to surgical or medical therapy of fibroids as well as fibroid treatment by means of MRgFUS, independently of the size and number of fibroids (leiomyoma) or previous surgery

  • The decision to offer UAE should be based on the wish of the patient and having regard to treatment alternatives, their success rates, limitations and side effects

  • For women with uterine fibroids who wish to conceive the role of UAE as a treatment options is still not clarified based on the current state of knowledge

Citation Format

  • Kröncke T, David M. Uterine Artery Embolization (UAE) for Fibroid Treatment: Results of the 7th Radiological Gynecological Expert Meeting. Fortschr Röntgenstr 2019; 191: 630 – 634

* For the participants of the consensus meeting 2019 listed in alphabetical order at the end of the article.